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SCOTT CONKLIN LCPC
NPI 1730410077
Counselor in Evanston, IL

Active since January 27, 2010Opted out of Medicare · through Jun 22, 2028
636 CHURCH ST STE 420, EVANSTON, IL 60201(312) 869-4897 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Scott Conklin Lcpc NPPES

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

SCOTT CONKLIN LCPC (NPI 1730410077) is an individual counselor in Evanston, Illinois, licensed in Illinois (180008996) and active in the NPI registry since January 2010. He has opted out of Medicare through June 22, 2028.

NPPES Registry Identity

NPI1730410077
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameSCOTT CONKLINCredential: LCPC
Location Address636 CHURCH ST STE 420Evanston, IL 60201-4580
Mailing Address636 Church St Ste 420Evanston, IL 60201-4580 · (312) 869-4897
Phone(312) 869-4897
Sole ProprietorYes
Enumeration DateJanuary 27, 2010
Last NPPES UpdateSeptember 11, 2020
NPPES CertifiedAugust 14, 2020
✔ NPI 1730410077 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 IL · 180008996
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.
636 CHURCH ST STE 420, Evanston, IL 60201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Scott Conklin Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 22, 2026 through June 22, 2028.

Opt-Out Effective DateJune 22, 2026
Opt-Out In Effect ThroughJune 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DR. BROOKE K MAGERS P.C.
Psychologist (Clinical)
636 CHURCH ST STE 420
EVANSTON, IL 60201
Cook County (847) 505-0900

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 Scott Conklin's NPI number?

The NPI number for Scott Conklin is 1730410077. It was assigned to this individual provider in the NPPES registry on January 27, 2010.

Where is Scott Conklin located?

Scott Conklin practices at 636 Church St Ste 420, Evanston, IL 60201. The listed phone number is (312) 869-4897.

What is Scott Conklin's specialty?

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

Is Scott Conklin enrolled in Medicare?

No. Scott Conklin has opted out of Medicare through June 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Scott Conklin was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.