SAMUEL WOLDEMICHAEL
NPI 1124637863
Counselor - Professional in Hyattsville, MD
NPI Status: Active since July 29, 2020
Contact Information
3415 HAMILTON ST STE 9
HYATTSVILLE, MD
ZIP 20782
Phone: (301) 538-5659
- Individual
- Male
- Counselor
- Professional
- PECOS Enrolled
About SAMUEL WOLDEMICHAEL
This page provides the complete NPI Profile along with additional information for Samuel Woldemichael, a provider established in Hyattsville, Maryland with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1124637863 assigned on July 2020. The practitioner's primary taxonomy code is 101YP2500X with license number LC10486 (MD). The provider is registered as an individual and his NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1124637863
- Provider Name
- SAMUEL WOLDEMICHAEL
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3415 HAMILTON ST STE 9 HYATTSVILLE, MD 20782
- Location Phone
- (301) 538-5659
- Mailing Address
- 8604 NIGHTINGALE DR LANHAM, MD 20706
- Mailing Phone
- (301) 538-5659
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-29-2020
- Last Update Date
- 07-29-2020
- 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.
- LC10486
- License State
- MD
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medicare Participation & PECOS Enrollment Status
Samuel Woldemichael 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
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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 | 2 | 4 | 6 | 3 | 7 | 8 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 12 | 3 | 14 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 1 + 2 + 3 + 1 + 4 + 8 + 1 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1124637863 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306861752 | DR. BRUKE TADESSE Individual | Psychologist (Addiction (Substance Use Disorder)) | 3415 HAMILTON ST STE 9 HYATTSVILLE, MD 20782 (301) 779-2461 |
| 1174110266 | FAMILY HEALTH CENTER INC. Organization | Clinic/Center (Adult Mental Health) | 3415 HAMILTON ST STE 9 W HYATTSVILLE, MD 20782 (301) 779-2461 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124637863, enumerated in the NPI registry as an "individual" on July 29, 2020
The provider is located at 3415 Hamilton St Ste 9 Hyattsville, Md 20782 and the phone number is (301) 538-5659
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
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 July 29, 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].
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