MARK CONRAD LCPC
NPI 1235546284
Counselor - Professional in Hagerstown, MD

NPI Status: Active since July 22, 2014

Contact Information

18714 N VILLAGE
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 733-0330
Fax: (301) 733-4038

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  • Individual
  • Male
  • Years of Experience 25
  • Counselor
  • Professional
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MARK CONRAD

This page provides the complete NPI Profile along with additional information for Mark Conrad, a provider established in Hagerstown, Maryland with a medical specialization in Counselor, focusing in professional and more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1235546284 assigned on July 2014. The practitioner's primary taxonomy code is 101YP2500X with license number LC1505 (MD). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1235546284
Provider Name
MARK CONRAD LCPC
Gender
Male
Entity Type
Individual
Location Address
18714 N VILLAGE HAGERSTOWN, MD 21742
Location Phone
(301) 733-0330
Location Fax
(301) 733-4038
Mailing Address
13121 BROOK LANE HAGERSTOWN, MD 21742
Mailing Phone
(301) 733-0331
Mailing Fax
(301) 733-4038
Medical School Name
OTHER
Graduation Year
2001
Is Sole Proprietor?
No
Enumeration Date
07-22-2014
Last Update Date
02-15-2018
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Location Map

Secondary Locations

  • 18714 N Village
    Hagerstown, MD 21742
    (301) 733-0330

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
LC1505
License State
MD

Medicare Participation & PECOS Enrollment Status

Mark Conrad is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Mark Conrad is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5496198566

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240206000368

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235546284, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 1 + 0 + 4 + 1 + 2 + 2 + 1 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1235546284.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Mental Health)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Counselor (Mental Health)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Counselor (Mental Health)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker
18714 N VILLAGE
HAGERSTOWN, MD 21742
Counselor (Professional)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Counselor (Professional)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Nurse Practitioner (Psychiatric/Mental Health)
18714 N VILLAGE
HAGERSTOWN, MD 21742

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235546284, enumerated as an "individual" on July 22, 2014.

The provider is located at 18714 N VILLAGE HAGERSTOWN, MD 21742 and the phone number is (301) 733-0330.

Counselor with taxonomy code 101YP2500X and a focus in Professional.