DR. CHASE VICTOR CONRAD (LMHC) – Counselor, NPI 1346869385
Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
306 CLINICAL PSYCHOLOGIST in HI
Provider Addresses for DR. CHASE VICTOR CONRAD (LMHC)
PO BOX 1977
KIHEI, HI 967531977
Phone: (808) 206-9371
Type: Mailing
1300 N HOLOPONO ST STE 108
KIHEI, HI 967536946
Phone: (808) 206-9371
Fax: (855) 270-7441
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: 2026-03-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200626000599 | I | Clinical Psychologist | HI | TBD |
| I20260309001694 | I | Clinical Psychologist | TX | 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 96753)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PR | |
| Physician Assistant | WA | |
| Internal Medicine | MD | |
| General Practice | PR | |
| General Practice | MT | |
| P S Y C H I A T R Y | NM | |
| - | NM | |
| Clinical Psychologist | NM | |
| - | MT | |
| Nurse Practitioner | TX |
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