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CHARISE PEDDICORD LCPC
NPI 1932762101
Counselor - Professional in Oakland, MD

Active since April 15, 2019PECOS EnrolledAccepts Medicare Assignment
1025 MEMORIAL DR, OAKLAND, MD 21550(301) 334-7680(301) 334-7681 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2024, Apr 15, 2019 (2 updates tracked since 2019).

About Charise Peddicord Lcpc NPPES

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

CHARISE PEDDICORD LCPC (NPI 1932762101) is an individual professional provider in Oakland, Maryland, licensed in Maryland (LC8970) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1932762101
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCHARISE PEDDICORDCredential: LCPC
Location Address1025 MEMORIAL DROakland, MD 21550-4343
Mailing Address1025 Memorial DrOakland, MD 21550-4343 · (301) 334-7680 · Fax (301) 334-7681
Phone(301) 334-7680
Fax(301) 334-7681
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 15, 2019
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1932762101 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 · LC8970
1025 MEMORIAL DR, Oakland, MD 21550
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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

Charise Peddicord 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 ID3173853314
PECOS Enrollment IDI20231218003634
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 Charise Peddicord reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Garrett County Health Department
Same address
Community/Behavioral Health
1025 MEMORIAL DR
Oakland, MD 21550
  • Reassigned Medicare billing, Maryland enrollment
  • 20 clinicians in this Medicare group
NPI 1295786085 (301) 334-7706

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.

GARRETT COUNTY HEALTH DEPARTMENT
Health Educator
1025 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 334-7720
AMY SHERBIN LCPC
Counselor (Professional)
1025 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 334-7680
MR. GAVIN ELIJAH MCCONNELL LCPC
Counselor (Mental Health)
1025 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 334-7680
GARRETT CO. HEALTH DEPT.
Case Management
1025 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 334-7700
GARRETT COUNTY HEALTH DEPARTMENT
Public Health or Welfare
1025 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 337-7700
CAROLE B HART LCSWC
Social Worker (Clinical)
1025 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 334-7680
MOLLY FOX LMSW
Social Worker
1025 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 334-7680
GARRETT COUNTY SUBSTANCE ABUSE
Community/Behavioral Health
1025 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 334-7700

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 Charise Peddicord's NPI number?

The NPI number for Charise Peddicord is 1932762101. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Charise Peddicord located?

Charise Peddicord practices at 1025 Memorial Dr, Oakland, MD 21550. The listed phone number is (301) 334-7680.

What is Charise Peddicord's specialty?

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

Is Charise Peddicord enrolled in Medicare?

Yes. Charise Peddicord 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 Charise Peddicord's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charise Peddicord reassigns Medicare benefits to Garrett County Health Department (Oakland, 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 Charise Peddicord'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 Charise Peddicord was last updated on September 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.