MS. JESSICA ELLEN CONWAY MA MFT NPI 1417092214

NPI Information

NPI: 1417092214
Provider Name: MS. JESSICA ELLEN CONWAY, MA, MFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
1409 GRANDIN RD SW
ROANOKE, VA
ZIP 24015
Phone: (703) 899-2983
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MS. Jessica Ellen Conway, MA, MFT is a mental health counselor in Roanoke, VA with 19 years of experience. MS. Jessica Ellen Conway, MA, MFT NPI is 1417092214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1409 GRANDIN RD SW
ROANOKE, VA
ZIP 24015-317
Phone: (703) 899-2983

The NPI 1417092214 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 3/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		46463	CALIFORNIA	No
2	106H00000X	Marriage & Family Therapist		0717001384	VIRGINIA	No
3	101YM0800X	Counselor	Mental Health	0171001384	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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