HELEN ELIZABETH FORMAN
NPI 1104433234
Counselor - Professional in Ashland, VA
NPI Status: Active since September 23, 2020
Contact Information
12300 WASHINGTON HWY
ASHLAND, VA
ZIP 23005
Phone: (804) 365-4222
Fax: (804) 365-4252
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
- PECOS Enrolled
About HELEN FORMAN
This page provides the complete NPI Profile along with additional information for Helen Forman, a provider established in Ashland, Virginia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1104433234 assigned on September 2020. The practitioner's primary taxonomy code is 101YP2500X with license number 0701009604 (VA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1104433234
- Provider Name
- HELEN ELIZABETH FORMAN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 12300 WASHINGTON HWY ASHLAND, VA 23005
- Location Phone
- (804) 365-4222
- Location Fax
- (804) 365-4252
- Mailing Address
- 12300 WASHINGTON HWY ASHLAND, VA 23005
- Mailing Phone
- (804) 365-4222
- Mailing Fax
- (804) 365-4252
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-23-2020
- Last Update Date
- 02-02-2023
- Code Navigator
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 Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 0701009604
- License State
- VA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Helen Forman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
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.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for HELEN ELIZABETH FORMAN
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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 | 1 | 0 | 4 | 4 | 3 | 3 | 2 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 8 | 3 | 6 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 8 + 3 + 6 + 2 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1104433234 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1851309058 | MR. STEPHEN F. ALEXANDER I LPC Individual | Counselor (Mental Health) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-6760 |
| 1346347473 | MISS CHERYL L LLEWELLYN LCSW Individual | Counselor (Mental Health) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4222 |
| 1396837274 | MR. JAMES M TEMPLE LCSW Individual | Social Worker (Clinical) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4222 |
| 1174615033 | MRS. JENNIFER K EDELMAN LCSW Individual | Social Worker (Clinical) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4222 |
| 1992898043 | MISS KYSHA L. WASHINGTON LPC Individual | Counselor (Professional) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4222 |
| 1780777862 | MRS. KATHLEEN Z NUSSBAUM LCSW Individual | Social Worker (Clinical) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4222 |
| 1205929239 | MR. BRET M. SAWYER LPC Individual | Counselor (Professional) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4222 |
| 1871645457 | MR. DONALD EDWARD HANBACK LPC Individual | Counselor (Professional) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4258 |
| 1174797906 | BARBARA I HARTMANN LCSW Individual | Social Worker (Clinical) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4270 |
| 1437323045 | LISA M BEITZ LCSW Individual | Social Worker (Clinical) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4270 |
| 1952551459 | ELIZABETH LAVELY MILLER LPC Individual | Counselor (Mental Health) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4222 |
| 1730330085 | ALLISON ANNE CARVER LPC Individual | Counselor (Professional) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4270 |
| 1780910950 | JENEISS PATIENCE ONYANGO LPC Individual | Social Worker (Clinical) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4222 |
| 1326366113 | DR. THOMAS MICHAEL SLAVEN PH.D., LPC Individual | Counselor (Professional) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4289 |
| 1871800565 | CHRISTINA NEWLAND BUSH LCSW Individual | Social Worker (Clinical) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4196 |
| 1124328711 | ANNA RAE ANTELL LCSW Individual | Social Worker (Clinical) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4196 |
| 1033411947 | MR. LARS W MESSERSCHMIDT LCSW Individual | Social Worker (Clinical) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4191 |
| 1134497357 | MISS MELISSA A SULLIVAN LCSW Individual | Social Worker (Clinical) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4222 |
| 1427318559 | CARLA MARIE RENNER LCSW Individual | Social Worker (Clinical) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4222 |
| 1831447580 | KATHRYN MEGHANN DAVIS LCSW Individual | Social Worker (Clinical) | 12300 WASHINGTON HWY ASHLAND, VA 23005 (804) 365-4222 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104433234, enumerated in the NPI registry as an "individual" on September 23, 2020
The provider is located at 12300 Washington Hwy Ashland, Va 23005 and the phone number is (804) 365-4222
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider might be accepting Accepts: Harvard Pilgrim Health Care. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on September 23, 2020. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.