Dr. Thomas A Conklin, LPC
Counselor, Mental Health in Bradley Beach, New Jersey
1659623809- Practice location
- 405 Ocean Ave, Bradley Beach, NJ 07720-1233
- Phone
- 646-335-3826
- Fax
- —
- Last updated
- December 26, 2022
Thomas Anthony Conklin is a Counselor, Mental Health based in Bradley Beach, NJ. Thomas Anthony Conklin practices in Bradley Beach, NJ and has the professional credentials of LPC. The NPI Number for Thomas Anthony Conklin is 1659623809 and holds a License No. 37PC00545000 (NJ). The current practice location address for Thomas Anthony Conklin is 405 Ocean Ave, Bradley Beach, NJ 07720-1233 and can be reached out via phone at 646-335-3826.
Provider Profile Details
- NPI Number
- 1659623809
- Provider Name
- Thomas Anthony Conklin
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 405 Ocean Ave, Bradley Beach, NJ 07720-1233
- Phone Number
- 646-335-3826
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 12, 2012
- Last Update Date
- December 26, 2022
- Certification Date
- December 26, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 405 Ocean Ave
Bradley Beach, NJ 07720-1233 - City
- Bradley Beach
- State
- New Jersey
- Zip
- 07720-1233
- Phone Number
- 646-335-3826
Provider Business Mailing Address Details
- Address
- 405 Ocean Ave
Bradley Beach, NJ 07720-1233 - City
- Bradley Beach
- State
- NJ
- Zip
- 07720-1233
- Phone Number
- 646-335-3826
License Information
- License Number (1)
- 37PC00545000
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X · Primary
- License Number (2)
- 37AC0013330
- License State (2)
- NJ
- Taxonomy (2)
- Counselor · 101Y00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Thomas A Conklin, LPC?
The NPI number of Dr. Thomas A Conklin, LPC is 1659623809. It was assigned on October 12, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Thomas A Conklin, LPC?
Dr. Thomas A Conklin, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37PC00545000.
Where does Dr. Thomas A Conklin, LPC practice?
The practice location is 405 Ocean Ave, Bradley Beach, NJ 07720-1233. The office can be reached at 646-335-3826 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659623809 directly on the NPPES registry website.