CONOR LAVERY – Counselor, NPI 1174035752

CONOR LAVERY is a healthcare provider. based in Lowell, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for CONOR LAVERY is 1174035752

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
CONOR LAVERY
NPI
1174035752
Phone
(978) 453-6800
Address
22 OLD CANAL DR
Enumeration Date
3 November 2017
Last Update Date
15 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5085212200
Graduation Year
2019 (7 years ago)
PAC ID
9032615034
Group Practice PAC ID
7911315379
Professional Enrollment ID
I20250930000667
Address ID
MA018512730LO22XXXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:8State licenses:0Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

Provider Addresses for CONOR LAVERY

  • 22 OLD CANAL DR

    LOWELL, MA 018512730

    Phone: (978) 453-6800

    Type: Location

  • 16, Harvard Drive, Bedford, Middlesex County, Massachusetts, 01730, United States

    BEDFORD, MA 017301020

    Phone: (781) 879-4213

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250930000667IMental Health CounselorMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01851)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911315379View full group profile
NameSpecialtyState
Mental Health CounselorMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerCT
Clinical Social WorkerMA
Mental Health CounselorMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
Mental Health CounselorMA

Reviews

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Frequently asked questions

Where can patients find CONOR LAVERY's NPI?
You can confirm CONOR LAVERY with NPI 1174035752; it appears in the national provider directory.
Does this profile mean CONOR LAVERY is currently active?
Yes — CONOR LAVERY appears active in the national provider directory.
What does CONOR LAVERY treat or focus on?
Patients typically see CONOR LAVERY under the specialty Counselor. Clinical services aligned with this taxonomy classification.
Does CONOR LAVERY practice in Massachusetts?
You will see Lowell, Massachusetts on file for CONOR LAVERY alongside any extra practice locations.
Is CONOR LAVERY a real provider?
This page reflects official NPPES data for NPI 1174035752. Always confirm identity and privileges with the practice and licensing boards.

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