1. Home
  2. Directory
  3. Florida
  4. Port St Lucie
  5. Counselor
  6. NPI Profile

MARIA G CONKLIN LAC, MA
NPI 1841452901
Counselor in Port St Lucie, FL

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
12021 SW LAGUNA BAY PKWY, PORT ST LUCIE, FL 34987(908) 227-6302 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maria G Conklin Lac, Ma NPPES

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

MARIA G CONKLIN LAC, MA (NPI 1841452901) is an individual counselor in Port St Lucie, Florida, licensed in New Jersey (37AC00043200) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1841452901
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMARIA G CONKLINCredential: LAC, MA
Location Address12021 SW LAGUNA BAY PKWYPort St Lucie, FL 34987-7755
Mailing Address12021 Sw Laguna Bay PkwyPort St Lucie, FL 34987-7755 · (908) 227-6302
Phone(908) 227-6302
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 30, 2008
Last NPPES UpdateMay 16, 2024
NPPES CertifiedMay 16, 2024
✔ NPI 1841452901 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 NJ · 37AC00043200
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.
12021 SW LAGUNA BAY PKWY, Port St Lucie, FL 34987
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 and accepts Medicare assignment

Maria G Conklin Lac, Ma 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 ID1759723877
PECOS Enrollment IDI20240523002329, I20240525000056, I20240621002233
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 Maria Conklin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mccd Fl Psychiatry Services PA
224 mi
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, District of Columbia, Florida and Iowa enrollments
  • 76 clinicians in this Medicare group
NPI 1659003457 (833) 351-8255
Mccd New Jersey Psychiatry Services LLC
974 mi
Psychiatry
53 FRONTAGE RD FL 1
Hampton, NJ 08827
  • Reassigned Medicare billing, New Jersey enrollment
  • 98 clinicians in this Medicare group
NPI 1023729530 (833) 351-8255

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

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 Maria Conklin's NPI number?

The NPI number for Maria Conklin is 1841452901. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Maria Conklin located?

Maria Conklin practices at 12021 SW Laguna Bay Pkwy, Port St Lucie, FL 34987. The listed phone number is (908) 227-6302.

What is Maria Conklin's specialty?

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

Is Maria Conklin enrolled in Medicare?

Yes. Maria 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 organizations bill Medicare for Maria Conklin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Conklin reassigns Medicare benefits to 2 organizations: Mccd Fl Psychiatry Services PA (Jacksonville, FL) and Mccd New Jersey Psychiatry Services LLC (Hampton, NJ). 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 Maria 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 Maria Conklin was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.