Olivia Conner Fraser, LGPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP10866 Issued in MD

Practice address

9627 Philadelphia Rd Ste 160
Rosedale, MD 21237-4157

Phone

(410) 780-5203

NPI assigned

Jun 21, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Liv Well Therapy LLC

  • Mental Health Counselor
  • Owings Mills, MD
  • NPI 1295509198
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1982273454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9627 PHILADELPHIA RD STE 160",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374157",
            "telephone_number": "410-780-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9627 PHILADELPHIA RD STE 160",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374157",
            "telephone_number": "410-780-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "OLIVIA",
        "middle_name": "CONNER",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP10866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forever Hope Behavioral Health, LLC
• Fort Washington Park Pediatrics P.C.
• Valeria Danielle Foster
• Franklin Family Dental Care
• Franklin Square Hospital Center, Inc (Medstar Franklin Square Medical Center Orthopedics)
• Andrew Joseph Friend, LMSW
• Brittany Anges Friend
• Ayrel J Funderburk
• Francois Emanuel Furman II, LGPC
• Parag Dinesh Gandhi, M.D.

• Mental Health Counselor in Rosedale, MD
• Providers in Rosedale, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.