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MARK ANTHONY FABIAN LCPC
NPI 1861060949
Counselor - Professional in Berlin, MD

Active since June 15, 2021PECOS EnrolledAccepts Medicare Assignment
314 FRANKLIN AVENUE, STE 403, BERLIN, MD 21811(410) 973-2211(443) 782-0350 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 9, 2024, Jun 15, 2021 (2 updates tracked since 2021).

About Mark Anthony Fabian Lcpc NPPES

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

MARK ANTHONY FABIAN LCPC (NPI 1861060949) is an individual professional provider in Berlin, Maryland, licensed in Maryland (LC9312) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1861060949
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMARK ANTHONY FABIANCredential: LCPC
Location Address314 FRANKLIN AVENUE, STE 403Berlin, MD 21811-1215
Mailing Address314 Franklin Avenue, Ste 403Berlin, MD 21811-1215 · (410) 973-2211 · Fax (443) 782-0350
Phone(410) 973-2211
Fax(443) 782-0350
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 15, 2021
Last NPPES UpdateFebruary 9, 20242 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
✔ NPI 1861060949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC9312
Also ListedCounselorTaxonomy 101Y00000X · License LC9312 (MD)
314 FRANKLIN AVENUE, Berlin, MD 21811
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Other Names 1

Former Name (1)Mark Anthony Mace

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

Mark Anthony Fabian Lcpc 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 ID749788404
PECOS Enrollment IDI20250812001459
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 Mark Fabian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lighthouse Counseling Christian Ministry, LLC
Same address
Professional
314 FRANKLIN AVE STE 403
Berlin, MD 21811
  • Reassigned Medicare billing, Maryland enrollment
  • 14 clinicians in this Medicare group
NPI 1104272426 (410) 973-2211

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 Mark Fabian's NPI number?

The NPI number for Mark Fabian is 1861060949. It was assigned to this individual provider in the NPPES registry on June 15, 2021. The provider is also known as Mark Anthony Mace.

Where is Mark Fabian located?

Mark Fabian practices at 314 Franklin Avenue Ste 403, Berlin, MD 21811. The listed phone number is (410) 973-2211.

What is Mark Fabian's specialty?

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

Is Mark Fabian enrolled in Medicare?

Yes. Mark Fabian 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 Mark Fabian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Fabian reassigns Medicare benefits to Lighthouse Counseling Christian Ministry, LLC (Berlin, 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 Mark Fabian'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 Mark Fabian was last updated on February 9, 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.