RENEE L BACON LPC
NPI 1114577012
Counselor - Professional in Branford, CT
NPI Status: Active since September 13, 2019
- Individual
- Female
- Counselor
- Professional
About RENEE BACON
This page provides the complete NPI Profile along with additional information for Renee Bacon, a provider established in Branford, Connecticut with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1114577012 assigned on September 2019. The practitioner's primary taxonomy code is 101YP2500X with license number 3470 (CT). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1114577012
- Provider Name
- RENEE L BACON LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 150 W MAIN ST BRANFORD, CT 06405
- Location Phone
- (203) 318-4220
- Mailing Address
- 150 W MAIN ST BRANFORD, CT 06405
- Mailing Phone
- (203) 318-4220
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-13-2019
- Last Update Date
- 11-22-2024
- 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.
- 3470
- License State
- CT
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 008090423 | MEDICAID (05) | CT |
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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 | 1 | 4 | 5 | 7 | 7 | 0 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 10 | 7 | 14 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 0 + 7 + 1 + 4 + 0 + 2 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1114577012 is valid because the calculated check digit 2 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 1114577012, enumerated in the NPI registry as an "individual" on September 13, 2019
The provider is located at 150 W Main St Branford, Ct 06405 and the phone number is (203) 318-4220
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 13, 2019. 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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