SORALIS CAMACHO-IRIZARRY LPC
NPI 1124308994
Counselor - Professional in New Haven, CT

NPI Status: Active since August 24, 2011

Contact Information

400 COLUMBUS AVE
ADULT PSYCHIATRIC CLINIC
NEW HAVEN, CT
ZIP 06519
Phone: (203) 503-3075
Fax: (203) 503-3296

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  • Individual
  • Female
  • Years of Experience 14
  • Counselor
  • Professional
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SORALIS CAMACHO-IRIZARRY

This page provides the complete NPI Profile along with additional information for Soralis Camacho-irizarry, a provider established in New Haven, Connecticut with a medical specialization in Counselor, focusing in professional and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1124308994 assigned on August 2011. The practitioner's primary taxonomy code is 101YP2500X with license number 3142 (CT). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1124308994
Provider Name
SORALIS CAMACHO-IRIZARRY LPC
Gender
Female
Entity Type
Individual
Location Address
400 COLUMBUS AVE ADULT PSYCHIATRIC CLINIC NEW HAVEN, CT 06519
Location Phone
(203) 503-3075
Location Fax
(203) 503-3296
Mailing Address
400 COLUMBUS AVE CREDENTIALING SPECIALIST NEW HAVEN, CT 06519
Mailing Phone
(203) 503-3000
Mailing Fax
(203) 503-3296
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
08-24-2011
Last Update Date
11-01-2019
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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.
3142
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
008071041MEDICAID (05)CT 

Medicare Participation & PECOS Enrollment Status

Soralis Camacho-irizarry is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Soralis Camacho-irizarry 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

  • PECOS PAC ID: 8325482680

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240215000355

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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 SORALIS CAMACHO-IRIZARRY LPC

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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.
1124308994
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21446016918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 6 + 0 + 1 + 6 + 9 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1124308994 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
1699756478 STANLEY IRA FRIEDMAN MD
Individual
Otolaryngology400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3250
1679548317 ROBERT WINDOM MD
Individual
Pediatrics400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3250
1457326894 MARGARET BORON MD
Individual
Pediatrics400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3280
1992773733 CAROL KANDALL MD
Individual
Obstetrics & Gynecology400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3250
1417925140 AUGUSTUS PULLEN
Individual
Social Worker (Clinical)400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3250
1902874530 ANDREW YIM
Individual
Nurse Practitioner (Family)400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3250
1356319768 KATHLEEN STONE
Individual
Nurse Practitioner (Pediatrics)400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3250
1245208560 SUKI MCLAREN
Individual
Physician Assistant400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3250
1417926536 RICHARD MALTZ
Individual
Social Worker (Clinical)400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3250
1730157975 MARY MCNEEL
Individual
Physician Assistant400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3250
1720056864 MAYSA AKBAR
Individual
Psychologist400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3250
1942279773 JENNIFER LYNN BRACKETT APRN
Individual
Nurse Practitioner400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3250
1801865589 CARMELA SHATTUCK
Individual
Social Worker (School)400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3250
1548200306 CAROL ELRINGTON M.D
Individual
Internal Medicine400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3250
1598706723 MARK LAWLESS
Individual
Social Worker (Clinical)400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3250
1679515498 JANE MILBERG-RUBENSTEIN APRN
Individual
Nurse Practitioner (Pediatrics)400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3250
1487680625DR. MARK LEWIS WASSERMAN MD
Individual
Internal Medicine400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3250
1932130028MRS. SANDRA BALTAZAR TATROE LCSW
Individual
Social Worker400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3250
1942390703 SU-LIN CARBONELLI
Individual
Social Worker400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3280
1720162761 SUSAN ORTOLEVA CNM
Individual
Advanced Practice Midwife400 COLUMBUS AVE
NEW HAVEN, CT 06519
(203) 503-3250

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124308994, enumerated in the NPI registry as an "individual" on August 24, 2011

The provider is located at 400 Columbus Ave Adult Psychiatric Clinic New Haven, Ct 06519 and the phone number is (203) 503-3075

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider has more than 14 years of experience.

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.

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 August 24, 2011. 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.