GINA M. CONNER MA, LAC
NPI 1356927263
Counselor - Mental Health in West Caldwell, NJ

Q: What is Gina Conner's NPI number?

The NPI number for Gina Conner is 1356927263. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Gina Conner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Gina Conner was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment

175 FAIRFIELD AVE STE 1C, WEST CALDWELL, NJ 07006(973) 865-4454 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gina M. Conner Ma, Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GINA M. CONNER MA, LAC (NPI 1356927263) is an individual mental health provider in West Caldwell, New Jersey, licensed in New Jersey (37AC00363800) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1356927263

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameGINA M. CONNERCredential: MA, LAC

Location Address175 FAIRFIELD AVE STE 1CWest Caldwell, NJ 07006-6415

Mailing Address175 Fairfield Ave Ste 1cWest Caldwell, NJ 07006-6415 · (973) 865-4454

Phone(973) 865-4454

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 22, 2021

NPPES CertifiedMarch 14, 2021

✔ NPI 1356927263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NJ · 37AC00363800

175 FAIRFIELD AVE STE 1C, West Caldwell, NJ 07006

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gina M. Conner Ma, Lac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214425701

PECOS Enrollment IDI20251025000074

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA A ZELOP LPC

Counselor (Professional)