| Katie Wilson Conklin, LPC | |
|
24 Clay St, Martinsville, VA 24112-2810 | |
| (276) 694-4361 | |
| (276) 694-3445 |
| Full Name | Katie Wilson Conklin |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 24 Clay St, Martinsville, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679276372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701012267 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Regional Community Services Board | 0345215208 | 27 |
| Entity Name | Piedmont Regional Community Services Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699754010 PECOS PAC ID: 0345215208 Enrollment ID: O20090319000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Wilson Conklin, LPC 24 Clay St, Martinsville, VA 24112-2810 Ph: (276) 694-4361 | Katie Wilson Conklin, LPC 24 Clay St, Martinsville, VA 24112-2810 Ph: (276) 694-4361 |
Miesha Penn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 Bridge St S, Martinsville, VA 24112 Phone: 276-336-3336 | |
Lisa Mcintosh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Clay St, Martinsville, VA 24112 Phone: 276-632-7128 | |
Lisa M Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1836 Virginia Ave, Martinsville, VA 24112 Phone: 419-580-1305 | |
Chassidy A Fitzgerald, LPC Counselor Medicare: Medicare Enrolled Practice Location: 15a E Church St, Martinsville, VA 24112 Phone: 434-237-9450 Fax: 434-237-9454 | |
Heather Duncan, LPC Counselor Medicare: Medicare Enrolled Practice Location: 24 Clay St, Martinsville, VA 24112 Phone: 276-632-7128 Fax: 276-632-0127 | |
Alyson Jennifer Alfieri, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Franklin St Ste 226, Martinsville, VA 24112 Phone: 276-531-9523 | |
Rebekah Shelton, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 445 Commonwealth Blvd E, Martinsville, VA 24112 Phone: 276-632-1113 Fax: 276-632-0923 |