ERIC CONWAY – Professional Counselor, NPI 1154055150

ERIC CONWAY is a healthcare provider. based in Columbia, Maryland. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. LC15277 (MD). The NPI Number for ERIC CONWAY is 1154055150

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
ERIC CONWAY
NPI
1154055150
Phone
(240) 288-3714
Address
10630 LITTLE PATUXENT PKWY STE 209
Enumeration Date
14 July 2022
Last Update Date
8 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4107408066
Graduation Year
2022 (4 years ago)
PAC ID
6608381090
Group Practice PAC ID
6608278445
Professional Enrollment ID
I20250715001539
Address ID
MD210446278CO10630PKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,236 MENTAL HEALTH COUNSELOR in MD

Provider Addresses for ERIC CONWAY

  • 10630 LITTLE PATUXENT PKWY STE 209

    COLUMBIA, MD 210446278

    Phone: (240) 288-3714

    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: 2025-07-15

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
I20250715001539IMental Health CounselorMDTBD

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 21044)

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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: 6608278445View full group profile
NameSpecialtyState
Mental Health CounselorMD
Nurse PractitionerMD
Clinical Social WorkerMD
Mental Health CounselorMD
Mental Health CounselorMD
Mental Health CounselorMD
Mental Health CounselorMD
Mental Health CounselorMD
Mental Health CounselorMD
Clinical Social WorkerGA

Reviews

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Frequently asked questions

Is ERIC CONWAY listed with a National Provider Identifier?
Yes — ERIC CONWAY has NPI 1154055150 on file in the registry.
Would ERIC CONWAY appear as active to a payer?
You can treat ERIC CONWAY as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is ERIC CONWAY?
ERIC CONWAY is associated with Professional Counselor in the directory — Clinical services aligned with this taxonomy classification.
Where in Maryland is ERIC CONWAY registered?
Use Columbia, Maryland as the headline location for ERIC CONWAY here.
When was this NPI issued?
Enumeration for ERIC CONWAY is noted as July 14, 2022 where the registry provides it.

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