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MARK CHARLES CONWAY LAC
NPI 1235791542
Counselor in Peoria, AZ

Active since July 08, 2019PECOS EnrolledAccepts Medicare Assignment
8466 W PEORIA AVE STE 6, PEORIA, AZ 85345(602) 497-3836 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark Charles Conway Lac NPPES

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

MARK CHARLES CONWAY LAC (NPI 1235791542) is an individual counselor in Peoria, Arizona, licensed in Arizona (LAC-17511) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1235791542
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMARK CHARLES CONWAYCredential: LAC
Location Address8466 W PEORIA AVE STE 6Peoria, AZ 85345-6548
Mailing Address7455 W Greer AvePeoria, AZ 85345-1104 · (623) 418-8407
Phone(602) 497-3836
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 8, 2019
✔ NPI 1235791542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in AZ · LAC-17511
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
8466 W PEORIA AVE STE 6, Peoria, AZ 85345
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Charles Conway Lac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961854831
PECOS Enrollment IDI20240116002817, I20260825002672
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Conway reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sondermind Provider Network LLC
585 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Arizona enrollment
  • 191 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279
Grow Healthcare Group PA
1,992 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Arizona and Ohio enrollments
  • 532 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

CLAUDIA P SERRANO
Counselor (Mental Health)
8466 W PEORIA AVE STE 6
PEORIA, AZ 85345
Maricopa County (928) 207-5139
VICKY A SNYDER LASAC, LPC
Counselor (Professional)
8466 W PEORIA AVE STE 6
PEORIA, AZ 85345
Maricopa County (602) 507-7595
ALEXANDRA ESTAVILLO MAS-MFT
Counselor (Mental Health)
8466 W PEORIA AVE STE 6
PEORIA, AZ 85345
Maricopa County (602) 507-7595
NEWLIFE COUNSELING SERVICES, LLC
Counselor (Mental Health)
8466 W PEORIA AVE STE 6
PEORIA, AZ 85345
Maricopa County (602) 507-7595
MS. RACHEL DIANA HOLLAND MA, LPC, NCC
Counselor (Mental Health)
8466 W PEORIA AVE STE 6
PEORIA, AZ 85345
Maricopa County (602) 507-7595

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 Mark Conway's NPI number?

The NPI number for Mark Conway is 1235791542. It was assigned to this individual provider in the NPPES registry on July 8, 2019.

Where is Mark Conway located?

Mark Conway practices at 8466 W Peoria Ave Ste 6, Peoria, AZ 85345. The listed phone number is (602) 497-3836.

What is Mark Conway's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Mark Conway enrolled in Medicare?

Yes. Mark Conway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mark Conway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Conway reassigns Medicare benefits to 2 organizations: Sondermind Provider Network LLC (Denver, CO) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Conway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Conway accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, CareSource and Cigna HealthCare of Arizona, Inc and 3 other insurers list Mark Conway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Conway was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.