MR. GONTRAN S ARCHER JR. M.A., LCPC
NPI 1568144400
Counselor - Mental Health in Upper Marlboro, MD

NPI Status: Active since August 01, 2023

Contact Information

509 DENNIS MAGRUDER DR
UPPER MARLBORO, MD
ZIP 20774
Phone: (585) 305-1465

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  • Individual
  • Male
  • Years of Experience 18
  • Counselor
  • Mental Health
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About GONTRAN ARCHER

This page provides the complete NPI Profile along with additional information for Gontran Archer, a provider established in Upper Marlboro, Maryland with a medical specialization in Counselor, focusing in mental health and more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1568144400 assigned on August 2023. The practitioner's primary taxonomy code is 101YM0800X with license number LC13937 (MD). The provider is registered as an individual and his NPI record was last updated April 2025.

NPI
1568144400
Provider Name
MR. GONTRAN S ARCHER JR. M.A., LCPC
Gender
Male
Entity Type
Individual
Location Address
509 DENNIS MAGRUDER DR UPPER MARLBORO, MD 20774
Location Phone
(585) 305-1465
Mailing Address
509 DENNIS MAGRUDER DR UPPER MARLBORO, MD 20774
Mailing Phone
(585) 305-1464
Medical School Name
OTHER
Graduation Year
2008
Is Sole Proprietor?
Yes
Enumeration Date
08-01-2023
Last Update Date
04-28-2025
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A mental health counselor like Gontran Archer provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Secondary Locations

  • 1500 Forest Glen Rd
    Silver Spring, MD 20910
    (301) 754-7000

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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
LC13937
License State
MD

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

LC13937 (MD)

Medicare Participation & PECOS Enrollment Status

Gontran Archer 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.

Gontran Archer 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: 5193162691

    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: I20240320000224

    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

Reviews for MR. GONTRAN S ARCHER JR. M.A., LCPC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568144400
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512824840
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 2 + 4 + 8 + 4 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1568144400 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

CHRISTINE BLANC ARCHER PMHNP-BC

Nurse Practitioner

(Psychiatric/Mental Health)

509 DENNIS MAGRUDER DR
UPPER MARLBORO, MD
ZIP 20774

(240) 988-2176

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568144400, enumerated as an "individual" on August 01, 2023.

The provider is located at 509 DENNIS MAGRUDER DR UPPER MARLBORO, MD 20774 and the phone number is (585) 305-1465.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.