REBECCA JORDAN TATUM LPC, MS
NPI 1093304149
Counselor in Scottsdale, AZ
NPI Status: Active since January 13, 2021
Contact Information
14301 N 87TH ST STE 206
SCOTTSDALE, AZ
ZIP 85260
Phone: (480) 788-6568
- Individual
- Female
- Counselor
- Opted-Out Medicare
About REBECCA TATUM
This page provides the complete NPI Profile along with additional information for Rebecca Tatum, a provider established in Scottsdale, Arizona with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1093304149 assigned on January 2021. The practitioner's primary taxonomy code is 101Y00000X with license number LPC-21526 (AZ). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1093304149
- Provider Name
- REBECCA JORDAN TATUM LPC, MS
- Other Name
- REBECCA JORDAN CHENEY LAC, MS
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 14301 N 87TH ST STE 206 SCOTTSDALE, AZ 85260
- Location Phone
- (480) 788-6568
- Mailing Address
- 17422 N 22ND ST PHOENIX, AZ 85022
- Mailing Phone
- (623) 237-2767
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-13-2021
- Last Update Date
- 11-29-2022
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Rebecca Tatum opted out of Medicare effective on 12-17-2024 until 12-17-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LPC-21526
- License State
- AZ
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | 16875 (AZ) |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 12-17-2024
Opt-Out End Date: 12-17-2026
Eligible to Order and Refer? No
Reviews for REBECCA JORDAN TATUM LPC, MS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 9 | 3 | 3 | 0 | 4 | 1 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 6 | 0 | 8 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 6 + 0 + 8 + 1 + 8 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1093304149 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093304149, enumerated in the NPI registry as an "individual" on January 13, 2021
The provider is located at 14301 N 87th St Ste 206 Scottsdale, Az 85260 and the phone number is (480) 788-6568
The provider's speciality is Counselor with taxonomy code 101Y00000X
No, the provider signed an affidavit on December 17, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until December 17, 2026.
This NPI record was last updated on January 13, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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