Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Carlton Conner

Individual provider Behavior Technician · NPI 1891392890

Kelly Carlton Conner is a Mental Health Counselor in Virginia Beach, Virginia. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

509 Old Great Neck Rd Ste 203
Virginia Beach, VA 23454-3358
Phone: (757) 520-1312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3101 Magic Hollow Blvd, Virginia Beach, VA 23453-3010 — (757) 639-2218

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0704015413 (VA)
Behavior Technician Taxonomy 106S00000X · Licence RBT-20-137898 (VA)

Record details

NPI number1891392890
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 3, 2020
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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