KARISA KLOSCAK LAC
NPI 1275944829
Counselor - Mental Health in Tempe, AZ

NPI Status: Active since May 16, 2014

Contact Information

2120 S MCCLINTOCK DR
SUITE 105
TEMPE, AZ
ZIP 85282
Phone: (480) 804-0326
Fax: (480) 302-7884

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Opted-Out Medicare

About KARISA KLOSCAK

This page provides the complete NPI Profile along with additional information for Karisa Kloscak, a provider established in Tempe, Arizona with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1275944829 assigned on May 2014. The practitioner's primary taxonomy code is 101YM0800X with license number LAC-14520 (AZ). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1275944829
Provider Name
KARISA KLOSCAK LAC
Gender
Female
Entity Type
Individual
Location Address
2120 S MCCLINTOCK DR SUITE 105 TEMPE, AZ 85282
Location Phone
(480) 804-0326
Location Fax
(480) 302-7884
Mailing Address
2120 S MCCLINTOCK DR SUITE 105 TEMPE, AZ 85282
Mailing Phone
(480) 804-0326
Mailing Fax
(480) 302-7884
Is Sole Proprietor?
No
Enumeration Date
05-16-2014
Last Update Date
05-16-2014
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A mental health counselor like Karisa Kloscak provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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. Karisa Kloscak opted out of Medicare effective on 01-10-2024 until 01-10-2026. 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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
LAC-14520
License State
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: 01-10-2024

  • Opt-Out End Date: 01-10-2026

  • Eligible to Order and Refer? No

Reviews for KARISA KLOSCAK LAC

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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.
1275944829
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145184884
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 8 + 4 + 8 + 8 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1275944829 is valid because the calculated check digit 9 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
1164721403MS. JENNIFER BRIANNA HOFFMAN LAC
Individual
Counselor (Professional)2120 S MCCLINTOCK DR SUITE 105
TEMPE, AZ 85282
(480) 804-0326
1932470564 SUSAN GOODYKOONTZ LMSW
Individual
Counselor (Mental Health)2120 S MCCLINTOCK DR SUITE 105
TEMPE, AZ 85282
(480) 804-0326
1134493273 LISA T CLARK LPC
Individual
Counselor (Professional)2120 S MCCLINTOCK DR SUITE 105
TEMPE, AZ 85282
(480) 804-0326
1831458918 JENISE JOHNSON LAC
Individual
Counselor (Mental Health)2120 S MCCLINTOCK DR SUITE 105
TEMPE, AZ 85282
(480) 804-0326
1720221047 DIANE BRADY MARTIN LPC
Individual
Counselor (Mental Health)2120 S MCCLINTOCK DR SUITE 105
TEMPE, AZ 85282
(480) 804-0326
1972892123 ALISSA L BABCOCK LMSW
Individual
Counselor (Professional)2120 S MCCLINTOCK DR SUITE 105
TEMPE, AZ 85282
(480) 804-0326
1427234434MR. MICHAEL MAGARINOS LAMFT
Individual
Marriage & Family Therapist2120 S MCCLINTOCK DR SUITE 105
TEMPE, AZ 85282
(480) 804-0326
1962831529 LETTY MARTINEZ
Individual
Social Worker (Clinical)2120 S MCCLINTOCK DR SUITE 105
TEMPE, AZ 85282
(480) 804-0326
1962822205 CHRISTIE MACMURRAY
Individual
Social Worker2120 S MCCLINTOCK DR SUITE 105
TEMPE, AZ 85282
(480) 804-0326
1346660511 KIMBERLY HEATON LMSW
Individual
Social Worker2120 S MCCLINTOCK DR SUITE 105
TEMPE, AZ 85282
(480) 804-0326
1982722526 SHANNON LENORE MADDEN LPC
Individual
Counselor2120 S MCCLINTOCK DR STE. 105
TEMPE, AZ 85282
(480) 804-0326
1396866604MS. PATRICIA A MCMILLAN MSW, LCSW
Individual
Social Worker (Clinical)2120 S MCCLINTOCK DR SUITE 105
TEMPE, AZ 85282
(480) 804-0326
1730597238 CHERYL SEARLES
Individual
Social Worker (Clinical)2120 S MCCLINTOCK DR SUITE 105
TEMPE, AZ 85282
(480) 804-0326
1922402171 TONYA THOMPSON LMSW
Individual
Social Worker2120 S MCCLINTOCK DR SUITE 105
TEMPE, AZ 85282
(480) 804-0326
1285977959 ZACHARY L ROSS LMSW
Individual
Social Worker (Clinical)2120 S MCCLINTOCK DR SUITE 105
TEMPE, AZ 85282
(480) 804-0326
1114139144MRS. CARIN CONLIN CALDWELL LMSW
Individual
Social Worker2120 S MCCLINTOCK DR STE. 105
TEMPE, AZ 85282
(480) 804-0326
1689841926 JASCELYN ANN REVLAND M.A.
Individual
Counselor (Professional)2120 S MCCLINTOCK DR STE. 105
TEMPE, AZ 85282
(480) 804-0326
1013386242 ERIKA LOPEZ
Individual
Social Worker2120 S MCCLINTOCK DR SUITE 105
TEMPE, AZ 85282
(480) 804-0326
1538230958MR. MATTHEW SLAVSKY LCSW
Individual
Social Worker (Clinical)2120 S MCCLINTOCK DR SUITE 105
TEMPE, AZ 85282
(480) 804-0326
1902941545MR. DAVID ALLEN KOHL M.S.W., L.C.S.W.
Individual
Social Worker (Clinical)2120 S MCCLINTOCK DR SUITE 105
TEMPE, AZ 85282
(602) 764-8542

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275944829, enumerated in the NPI registry as an "individual" on May 16, 2014

The provider is located at 2120 S Mcclintock Dr Suite 105 Tempe, Az 85282 and the phone number is (480) 804-0326

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

No, the provider signed an affidavit on January 10, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 10, 2026.

This NPI record was last updated on May 16, 2014. 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.