Katie Wilson Conklin, LPC
Counselor, Professional in Martinsville, VA. Individual provider (NPI-1).
NPI number1679276372
StatusActive
Last updated in NPPESNov 3, 2023
Details
- NPI
- 1679276372
- Entity type
- Individual (NPI-1)
- Name
- Katie Wilson Conklin
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2023
- Certification date
- Nov 3, 2023
- Last updated
- Nov 3, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701012267 | VA | Yes |
Practice location
24 Clay StMartinsville, VA 24112-2810
Phone 276-694-4361 · Fax 276-694-3445
Mailing address
24 Clay StMartinsville, VA 24112-2810
Phone 276-694-4361 · Fax 276-694-3445
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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