RICKY P. CONDON, L.C.P.C. — NPI 1720397748 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1720397748

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

101YP2500X (CMS E2)

Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor

Box 32 Service Location & ZIP+4

284 MAIN ST, SUITE 190, WILTON, ME, 04294-3044

✓ 9-Digit EDI 837 ZIP+4 (04294-3044)

Practice Phone & Referral Fax

(207) 592-0741

Direct NPPES Verification Line

⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT: NPI 1720397748 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(a)(1) — Conviction of Program-Related Crimes (Mandatory 5-Yr Min) — Effective 2021-11-18; Sec. 1128(b)(4) — License Revocation, Suspension, or Surrender — Effective 2014-09-18). Verify before submitting Medicare/Medicaid claims.

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1720397748` (NPI-1 Individual Practitioner)
Provider / Legal Name	RICKY P. CONDON, L.C.P.C.
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor NUCC Code: `101YP2500X` (Counselor, Professional)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	284 MAIN ST, SUITE 190, WILTON, ME, 04294-3044
Practice Telephone / Fax	Tel: (207) 592-0741
Administrative Mailing Address	284 MAIN ST, WILTON, ME, 04294-3044
Enumeration & Last Sync	Enumerated: 2010-09-26 \| CMS Record Updated: 2010-09-26

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

284 MAIN ST, SUITE 190, WILTON, ME, 04294-3044

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Plain-English Taxonomy & CMS Crosswalk (101YP2500X)

What Does Taxonomy Code 101YP2500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YP2500X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor"

CMS-1500 Medicare Specialty Crosswalk: CMS Code E2 (Licensed Professional Counselor)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor, Professional for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (RICKY P. CONDON, L.C.P.C.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YP2500X` — Counselor, Professional Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: ME \| License: `CC885` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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RICKY P. CONDON, L.C.P.C. (NPI #1720397748)