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

MR. FRED N EDELL MA LCPC
NPI 1720065816
Counselor - Professional in Hagerstown, MD

Active since December 29, 2005PECOS Enrolled
18714 N VILLAGE, HAGERSTOWN, MD 21742(301) 733-0330(301) 733-4038 Get Directions Write a Review

NPPES record last updated: February 16, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Fred N Edell Ma Lcpc NPPES

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

MR. FRED N EDELL MA LCPC (NPI 1720065816) is an individual professional provider in Hagerstown, Maryland, licensed in Maryland (LC0360) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1720065816
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. FRED N EDELLCredential: MA LCPC
Location Address18714 N VILLAGEHagerstown, MD 21742-2454
Mailing Address13121 Brook LaneHagerstown, MD 21742-1514 · (301) 733-0330 · Fax (301) 733-4038
Phone(301) 733-0330
Fax(301) 733-4038
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateDecember 29, 2005
Last NPPES UpdateFebruary 16, 2018
✔ NPI 1720065816 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 MD · LC0360
18714 N VILLAGE, Hagerstown, MD 21742
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Fred N Edell Ma Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183120033
PECOS Enrollment IDI20250930004578
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 Fred Edell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brook Lane Behavioral Services, Inc.
5.8 mi
Psychiatry
13215 BROOK LANE, OUTPATIENT SERVICES
Hagerstown, MD 21742
  • Reassigned Medicare billing, Maryland enrollment
  • 47 clinicians in this Medicare group
NPI 1538647748 (301) 733-0330

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.

BROOK LANE BEHAVIORAL SERVICES, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
MRS. GEORGETTE GERALDINE HUGHES LCPC
Counselor (Professional)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0331
MERITUS MEDICAL CENTER INC
Clinic/Center (Rehabilitation)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 790-8613
VICKI S CHURCHEY LCSW
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
LAURA BROOKE HANS LCSW-C
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
SHANNON BELL LCSW-C
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
WILLIAM FOX LMSW
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 739-7258
DOROTHY A. STRAWSBURG LCSW-C
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0331

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 Fred Edell's NPI number?

The NPI number for Fred Edell is 1720065816. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Fred Edell located?

Fred Edell practices at 18714 N Village, Hagerstown, MD 21742. The listed phone number is (301) 733-0330.

What is Fred Edell's specialty?

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

Is Fred Edell enrolled in Medicare?

Yes. Fred Edell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fred Edell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fred Edell reassigns Medicare benefits to Brook Lane Behavioral Services, Inc. (Hagerstown, MD). 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 Fred Edell'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 Fred Edell was last updated on February 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.