MADELYN SIMMONS
NPI 1285406645
Counselor - Mental Health in Erie, PA
NPI Status: Active since October 27, 2023
Contact Information
3800 W 12TH ST STE 7
ERIE, PA
ZIP 16505
Phone: (814) 482-2209
- Individual
- Female
- Counselor
- Mental Health
- Opted-Out Medicare
About MADELYN SIMMONS
This page provides the complete NPI Profile along with additional information for Madelyn Simmons, a provider established in Erie, Pennsylvania with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1285406645 assigned on October 2023. The practitioner's primary taxonomy code is 101YM0800X with license number PC016317 (PA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1285406645
- Provider Name
- MADELYN SIMMONS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3800 W 12TH ST STE 7 ERIE, PA 16505
- Location Phone
- (814) 482-2209
- Mailing Address
- 4406 BRANDES ST ERIE, PA 16504
- Mailing Phone
- (610) 737-9507
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-27-2023
- Last Update Date
- 10-27-2023
- Code Navigator
A mental health counselor like Madelyn Simmons 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. Madelyn Simmons opted out of Medicare effective on 09-05-2024 until 09-05-2026. 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.
- PC016317
- License State
- PA
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: 09-05-2024
Opt-Out End Date: 09-05-2026
Eligible to Order and Refer? 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 | 2 | 8 | 5 | 4 | 0 | 6 | 6 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 8 | 0 | 12 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 8 + 0 + 1 + 2 + 6 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1285406645 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1619563004 | FOREST COUNSELING, LLC Organization | Clinic/Center (Adolescent and Children Mental Health) | 3800 W 12TH ST STE 7 ERIE, PA 16505 (814) 482-2209 |
| 1790212975 | MARK WILLIAM LESNIEWSKI Individual | Counselor (Mental Health) | 3800 W 12TH ST STE 7 ERIE, PA 16505 (814) 482-2209 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285406645, enumerated in the NPI registry as an "individual" on October 27, 2023
The provider is located at 3800 W 12th St Ste 7 Erie, Pa 16505 and the phone number is (814) 482-2209
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
No, the provider signed an affidavit on September 05, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until September 05, 2026.
This NPI record was last updated on October 27, 2023. 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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