1. Home
  2. Directory
  3. Maryland
  4. Oakland
  5. Counselor
  6. NPI Profile

MR. GAVIN ELIJAH MCCONNELL LCPC
NPI 1053167262
Counselor - Mental Health in Oakland, MD

Active since April 29, 2024PECOS Enrolled
1025 MEMORIAL DR, OAKLAND, MD 21550(301) 334-7680(301) 334-7681 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Aug 14, 2026, Apr 29, 2024 (2 updates tracked since 2024).

About Mr. Gavin Elijah Mcconnell Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GAVIN ELIJAH MCCONNELL LCPC (NPI 1053167262) is an individual mental health provider in Oakland, Maryland, licensed in Maryland (LC18324) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053167262
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. GAVIN ELIJAH MCCONNELLCredential: LCPC
Location Address1025 MEMORIAL DROakland, MD 21550-4343
Mailing AddressPo Box 158Grantsville, MD 21536-0158 · (240) 956-9650
Phone(301) 334-7680
Fax(301) 334-7681
Sole ProprietorYes
Enumeration DateApril 29, 2024
Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1053167262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LC18324
1025 MEMORIAL DR, Oakland, MD 21550
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Gavin Elijah Mcconnell Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARRETT COUNTY HEALTH DEPARTMENT
Health Educator
1025 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 334-7720
AMY SHERBIN LCPC
Counselor (Professional)
1025 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 334-7680
GARRETT CO. HEALTH DEPT.
Case Management
1025 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 334-7700
GARRETT COUNTY HEALTH DEPARTMENT
Public Health or Welfare
1025 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 337-7700
CAROLE B HART LCSWC
Social Worker (Clinical)
1025 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 334-7680
MOLLY FOX LMSW
Social Worker
1025 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 334-7680
GARRETT COUNTY SUBSTANCE ABUSE
Community/Behavioral Health
1025 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 334-7700
MS. NANCY ELIZABETH NIMMICH LCSW-C
Social Worker (Clinical)
1025 MEMORIAL DR, BEHAVIORAL HEALTH
OAKLAND, MD 21550
Garrett County (301) 334-7680

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gavin Mcconnell's NPI number?

The NPI number for Gavin Mcconnell is 1053167262. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Gavin Mcconnell located?

Gavin Mcconnell practices at 1025 Memorial Dr, Oakland, MD 21550. The listed phone number is (301) 334-7680.

What is Gavin Mcconnell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Gavin Mcconnell enrolled in Medicare?

Yes. Gavin Mcconnell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gavin Mcconnell was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.