MARIA G CONKLIN (LAC, MA) – Counselor, NPI 1841452901
Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,020 MENTAL HEALTH COUNSELOR in FL
Provider Addresses for MARIA G CONKLIN (LAC, MA)
12021 SW LAGUNA BAY PKWY
PORT ST LUCIE, FL 349877755
Phone: (908) 227-6302
Type: Mailing
Harding Avenue, Pumptown, Edison, Middlesex County, New Jersey, 08820, United States
EDISON, NJ 088202556
Phone: (732) 494-8418
Fax: (732) 494-8497
Type: Mailing
Main Street, Metuchen, Middlesex County, New Jersey, 08840, United States
METUCHEN, NJ 088402728
Phone: (732) 549-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240521002693 | I | Mental Health Counselor | NJ | TBD |
| I20240523002329 | I | Mental Health Counselor | IA | TBD |
| I20240525000056 | I | Mental Health Counselor | FL | TBD |
| I20240621002233 | I | Mental Health Counselor | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34987)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | MI | |
| P S Y C H I A T R Y | NY | |
| Clinical Social Worker | FL | |
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | IN | |
| P S Y C H I A T R Y | CO | |
| P S Y C H I A T R Y | NY | |
| Clinical Social Worker | MA | |
| P S Y C H I A T R Y | NY |
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