KELLY CARLTON CONNER
NPI 1891392890
Counselor - Professional in Virginia Beach, VA

Active since October 03, 2020PECOS Enrolled
509 OLD GREAT NECK RD STE 203, VIRGINIA BEACH, VA 23454(757) 520-1312 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Carlton Conner NPPES

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

KELLY CARLTON CONNER (NPI 1891392890) is an individual professional provider in Virginia Beach, Virginia, licensed in Virginia (0704015413) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Virginia Beach, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1891392890
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY CARLTON CONNER
Location Address509 OLD GREAT NECK RD STE 203Virginia Beach, VA 23454-3358
Mailing Address3101 Magic Hollow BlvdVirginia Beach, VA 23453-3010 · (757) 639-2218 · Fax (866) 594-3899
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 3, 2020
Last NPPES UpdateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
NPI 1891392890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0704015413
Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-20-137898 (VA)
509 OLD GREAT NECK RD STE 203, Virginia Beach, VA 23454

Secondary Practice Location 1

Location 13101 Magic Hollow BlvdVirginia Beach, VA 23453-3010 · Phone (757) 639-2218 · Fax (866) 594-3899

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Carlton Conner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143797134
PECOS Enrollment IDI20260428000647
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 16

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

Counselor (Professional)
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA 23454
Social Worker (Clinical)
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA 23454
Counselor (Professional)
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA 23454
Counselor (Professional)
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA 23454
Counselor (Professional)
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA 23454
Social Worker (Clinical)
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA 23454
Counselor (Professional)
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA 23454
Social Worker (Clinical)
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA 23454

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 Kelly Conner's NPI number?

The NPI number for Kelly Conner is 1891392890. It was assigned to this individual provider in the NPPES registry on October 3, 2020.

Where is Kelly Conner located?

Kelly Conner practices at 509 Old Great Neck Rd Ste 203, Virginia Beach, VA 23454. The listed phone number is (757) 520-1312.

What is Kelly Conner's specialty?

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

Is Kelly Conner enrolled in Medicare?

Yes. Kelly Conner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Conner was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.