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MR. ANTONIO DANTE CONWAY LPCC, LICDC
NPI 1790284560
Counselor - Mental Health in Cleveland, OH

Active since February 07, 2018PECOS Enrolled
3622 PROSPECT AVE E, CLEVELAND, OH 44115(216) 431-4600(216) 431-4601 Get Directions Write a Review

NPPES record last updated: June 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Antonio Dante Conway Lpcc, Licdc NPPES

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

MR. ANTONIO DANTE CONWAY LPCC, LICDC (NPI 1790284560) is an individual mental health provider in Cleveland, Ohio, licensed in Ohio (E.2505379) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Orwell, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1790284560
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. ANTONIO DANTE CONWAYCredential: LPCC, LICDC
Location Address3622 PROSPECT AVE ECleveland, OH 44115-2704
Mailing Address8351 State Route 46Orwell, OH 44076-9389 · (440) 321-9063
Phone(216) 431-4600
Fax(216) 431-4601
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 7, 2018
Last NPPES UpdateJune 8, 2025
NPPES CertifiedJune 8, 2025
✔ NPI 1790284560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · E.2505379
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 162455 (OH)
3622 PROSPECT AVE E, Cleveland, OH 44115
Open in Google Maps ↗

Secondary Practice Location 1

Location 18351 State Route 46Orwell, OH 44076-9389 · Phone (440) 321-9063

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Antonio Dante Conway Lpcc, Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789157363
PECOS Enrollment IDI20260701002632
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.

Medicare Billing Reassignment

Medicare enrollment records show Antonio Conway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,087 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Indiana, Michigan and Ohio enrollments
  • 417 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

MR. RYAN C MOORE SR.
Case Manager/Care Coordinator
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
MRS. ANTOINETTE MARLENE WHITT
Counselor (Addiction (Substance Use Disorder))
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
MADISON BREWER
Counselor (Professional)
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
LINDSAY KING
Student in an Organized Health Care Education/Training Program
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 404-1900
DARLA MICHELE CHARACTER-JOHNSON CDCA
Counselor (Addiction (Substance Use Disorder))
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
PETER GABRIEL INOSHITA
Specialist/Technologist, Health Information (Registered Record Administrator)
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
MRS. PAULA HUNT CDCA
Counselor (Addiction (Substance Use Disorder))
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
REBECCA THWING
Student in an Organized Health Care Education/Training Program
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600

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 Antonio Conway's NPI number?

The NPI number for Antonio Conway is 1790284560. It was assigned to this individual provider in the NPPES registry on February 7, 2018.

Where is Antonio Conway located?

Antonio Conway practices at 3622 Prospect Ave E, Cleveland, OH 44115. The listed phone number is (216) 431-4600.

What is Antonio Conway's specialty?

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

Is Antonio Conway enrolled in Medicare?

Yes. Antonio Conway is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Antonio Conway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Conway reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonio Conway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antonio Conway accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual and Priority Health list Antonio Conway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Antonio Conway was last updated on June 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.