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LARRY CONNER MA LPC PC
NPI 1366658130
Counselor - Professional in Portland, OR

Active since May 16, 2007Opted out of Medicare · through Mar 26, 2028
2304 E BURNSIDE ST STE 106, PORTLAND, OR 97214(503) 252-1050 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Larry Conner Ma Lpc Pc NPPES

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

LARRY CONNER MA LPC PC (NPI 1366658130) is a healthcare organization registered as a professional in Portland, Oregon and active in the NPI registry since May 2007. The organization has opted out of Medicare through March 26, 2028 and lists Lawrence S. Conner, President, as its authorized official.

NPPES Registry Identity

NPI1366658130
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameLARRY CONNER MA LPC PC
Location Address2304 E BURNSIDE ST STE 106Portland, OR 97214-1689
Mailing Address6615 N Curtis AvePortland, OR 97217-4061 · (503) 525-1050
Phone(503) 252-1050
Organization SubpartNo
Authorized OfficialLawrence S. ConnerPresident · (503) 525-1050
Enumeration DateMay 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1366658130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C0099
2304 E BURNSIDE ST STE 106, Portland, OR 97214
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Larry Conner Ma Lpc Pc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 26, 2024 through March 26, 2028.

Opt-Out Effective DateMarch 26, 2024
Opt-Out In Effect ThroughMarch 26, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Conner Ma Lpc PC's NPI number?

The NPI number for Larry Conner Ma Lpc PC is 1366658130. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Larry Conner Ma Lpc PC located?

Larry Conner Ma Lpc PC is located at 2304 E Burnside St Ste 106, Portland, OR 97214. The listed phone number is (503) 252-1050.

What is Larry Conner Ma Lpc PC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Larry Conner Ma Lpc PC enrolled in Medicare?

No. Larry Conner Ma Lpc PC has opted out of Medicare through March 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Larry Conner Ma Lpc PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.