Gina M. Conner, MA, LAC
NPI 1356927263ActiveIndividual· Counselor, Mental Health· West Caldwell, NJ
Counselor, Mental Health (MA, LAC) with Be Well Psychotherapy LLC, practicing in West Caldwell, New Jersey. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1356927263 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, LAC |
| Sole proprietor | No |
| NPI issued | Mar 22, 2021 |
| Last updated in NPPES | Mar 22, 2021 |
| Certified by provider | Mar 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 37AC00363800 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (NJ) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Be Well Psychotherapy LLCWest Caldwell, NJ · 7 clinicians
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