MARK ALLEN CALVERT (LCPC) – Mental Health Counselor, NPI 1790897270

MARK ALLEN CALVERT (LCPC) is a healthcare provider. based in Galesburg, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. The NPI Number for MARK ALLEN CALVERT (LCPC) is 1790897270

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MARK ALLEN CALVERT (LCPC)
NPI
1790897270
Phone
(309) 342-6852
Address
2101 WINDISH DR
Enumeration Date
31 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3093430800
Graduation Year
1997 (29 years ago)
PAC ID
7618329392
Group Practice PAC ID
9436473162
Professional Enrollment ID
I20240118000796
Address ID
IL614017609GA575XXSTXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for MARK ALLEN CALVERT (LCPC)

  • 2101, Windish Drive, Galesburg, Knox County, Illinois, 61401, United States

    ADVANCED BEHAVIORAL HEALTH ABH

    GALESBURG, IL 61401

    Phone: (309) 342-6852

    Fax: (309) 342-6535

    Mailing address matches the actual address.

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: 2024-01-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240118000796IMental Health CounselorILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 61401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436473162View full group profile
NameSpecialtyState
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical PsychologistIL
Clinical Social WorkerIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

How do payers reference MARK ALLEN CALVERT (LCPC)?
For MARK ALLEN CALVERT (LCPC), use NPI 1790897270 as the unique 10-digit identifier.
Is MARK ALLEN CALVERT (LCPC) still an active registrant?
MARK ALLEN CALVERT (LCPC) carries an active NPI according to the public dataset.
What expertise is attributed to MARK ALLEN CALVERT (LCPC)?
MARK ALLEN CALVERT (LCPC)'s specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where in Illinois is MARK ALLEN CALVERT (LCPC) registered?
Use Galesburg, Illinois as the headline location for MARK ALLEN CALVERT (LCPC) here.
When was this NPI issued?
Enumeration for MARK ALLEN CALVERT (LCPC) is noted as August 31, 2006 where the registry provides it.

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