LARRY CONNER MA LPC PC
NPI 1366658130
Counselor - Professional in Portland, OR
NPI Status: Active since May 16, 2007
Contact Information
2304 E BURNSIDE ST STE 106
PORTLAND, OR
ZIP 97214
Phone: (503) 252-1050
- Organization
- Counselor
- Professional
- PECOS Enrolled
- Opted-Out Medicare
About LARRY CONNER MA LPC PC
This page provides the complete NPI Profile along with additional information for Larry Conner Ma Lpc Pc, a provider established in Portland, Oregon operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1366658130 assigned on May 2007. The practitioner's primary taxonomy code is 101YP2500X with license number C0099 (OR). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Lawrence S. Conner Ma Lpc (President)
- NPI
- 1366658130
- Provider Name
- LARRY CONNER MA LPC PC
- Entity Type
- Organization
- Location Address
- 2304 E BURNSIDE ST STE 106 PORTLAND, OR 97214
- Location Phone
- (503) 252-1050
- Mailing Address
- 6615 N CURTIS AVE PORTLAND, OR 97217
- Mailing Phone
- (503) 525-1050
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-16-2007
- Last Update Date
- 08-22-2020
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Larry Conner Ma Lpc Pc opted out of Medicare effective on 03-26-2024 until 03-26-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- C0099
- License State
- OR
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medicare Participation & PECOS Enrollment Status
Larry Conner Ma Lpc Pc is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 03-26-2024
Opt-Out End Date: 03-26-2026
Eligible to Order and Refer? No
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1366658130, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366658130, enumerated as an "organization" on May 16, 2007.
The provider is located at 2304 E BURNSIDE ST STE 106 PORTLAND, OR 97214 and the phone number is (503) 252-1050.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
