Kenshasa Tshombe Conley

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

118860 Issued in CA

Practice address

2122 W 107TH St
Los Angeles, CA 90047-4305

Phone

(323) 696-9749

NPI assigned

Feb 17, 2021

Sex

Male

Sole proprietor

Yes

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.

• Deliann-Lucile Corporation

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Los Angeles, CA
  • NPI 1982147922
  NPD (past)

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1992398366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 W 133RD ST",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506217",
            "telephone_number": "818-208-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 W 107TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474305",
            "telephone_number": "323-696-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "KENSHASA",
        "middle_name": "TSHOMBE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "118860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Conley
• Brittney Lenai Conley
• Carl Conley Jr., MD
• Christopher Michael Conley, LMHC/LPCC
• Drew Conley
• Kiara Conley
• Kyndell Monet Conley, LCSW
• Lauren Jean Conley
• Tavien Conley
• Wendy Anne Conlon, MS

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.