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KATIE WILSON CONKLIN LPC
NPI 1679276372
Counselor - Professional in Martinsville, VA

Active since March 23, 2023PECOS EnrolledAccepts Medicare Assignment
24 CLAY ST, MARTINSVILLE, VA 24112(276) 694-4361(276) 694-3445 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 3, 2023, Mar 23, 2023 (2 updates tracked since 2023).

About Katie Wilson Conklin Lpc NPPES

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

KATIE WILSON CONKLIN LPC (NPI 1679276372) is an individual professional provider in Martinsville, Virginia, licensed in Virginia (0701012267) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1679276372
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATIE WILSON CONKLINCredential: LPC
Location Address24 CLAY STMartinsville, VA 24112-2810
Mailing Address24 Clay StMartinsville, VA 24112-2810 · (276) 694-4361 · Fax (276) 694-3445
Phone(276) 694-4361
Fax(276) 694-3445
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 23, 2023
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1679276372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701012267
24 CLAY ST, Martinsville, VA 24112
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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

Katie Wilson Conklin Lpc 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 ID2365893864
PECOS Enrollment IDI20240109003547
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 Reassignment

Medicare enrollment records show Katie Conklin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Piedmont Regional Community Services Board
Same address
Community/Behavioral Health
24 CLAY ST
Martinsville, VA 24112
  • Reassigned Medicare billing, Virginia enrollment
  • 63 clinicians in this Medicare group
NPI 1699754010 (276) 632-7128

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 20

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

LISA MCINTOSH LPC
Counselor (Professional)
24 CLAY ST
MARTINSVILLE, VA 24112
Martinsville City (276) 632-7128
DR. PRAVINCHANDRA C PATEL M.D.
Psychiatry & Neurology (Psychiatry)
24 CLAY ST
MARTINSVILLE, VA 24112
Martinsville City (276) 632-7128
HEATHER DUNCAN LPC
Counselor (Professional)
24 CLAY ST
MARTINSVILLE, VA 24112
Martinsville City (276) 632-7128
EMILY AUKER HIATT LCSW
Social Worker (Clinical)
24 CLAY ST
MARTINSVILLE, VA 24112
Martinsville City (276) 632-7128
MRS. KELLY LUTHER KOEBEL LPC
Counselor (Professional)
24 CLAY ST
MARTINSVILLE, VA 24112
Martinsville City (276) 632-7128
RICHARD PATTERSON LPC
Counselor (Professional)
24 CLAY ST
MARTINSVILLE, VA 24112
Martinsville City (276) 632-7128
SHIRLEY JAMISON LCSW
Social Worker (Clinical)
24 CLAY ST
MARTINSVILLE, VA 24112
Martinsville City (276) 632-7128
JENNIFER BEACH YATES LCSW
Social Worker (Clinical)
24 CLAY ST
MARTINSVILLE, VA 24112
Martinsville City (276) 632-7128

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 Katie Conklin's NPI number?

The NPI number for Katie Conklin is 1679276372. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Katie Conklin located?

Katie Conklin practices at 24 Clay St, Martinsville, VA 24112. The listed phone number is (276) 694-4361.

What is Katie Conklin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Katie Conklin enrolled in Medicare?

Yes. Katie Conklin 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 organization bills Medicare for Katie Conklin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Conklin reassigns Medicare benefits to Piedmont Regional Community Services Board (Martinsville, VA). The 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 Katie Conklin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katie Conklin was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.