ANDREW R WALL LCPC
NPI 1376899799
Counselor - Professional in Chicago, IL
NPI Status: Active since August 03, 2012
Contact Information
2302 W NORTH AVE
UNIT 1E
CHICAGO, IL
ZIP 60647
Phone: (773) 551-7204
Fax: (773) 342-4200
- Individual
- Male
- Counselor
- Professional
- Accepts Insurance
- Opted-Out Medicare
About ANDREW WALL
This page provides the complete NPI Profile along with additional information for Andrew Wall, a provider established in Chicago, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1376899799 assigned on August 2012. The practitioner's primary taxonomy code is 101YP2500X with license number 180008228 (IL). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1376899799
- Provider Name
- ANDREW R WALL LCPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2302 W NORTH AVE UNIT 1E CHICAGO, IL 60647
- Location Phone
- (773) 551-7204
- Location Fax
- (773) 342-4200
- Mailing Address
- 2302 W NORTH AVE UNIT 1E CHICAGO, IL 60647
- Mailing Phone
- (773) 551-7204
- Mailing Fax
- (773) 342-4200
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-03-2012
- Last Update Date
- 10-02-2014
- Code Navigator
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. Andrew Wall opted out of Medicare effective on 01-23-2024 until 01-23-2026. 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 Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 180008228
- License State
- IL
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | 180008228 (IL) |
| 2 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 180008228 (IL) |
| 3 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 180008228 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Connect Bronze 2000 Indiv Med Deductible - HMO
- Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - Rx Copay - HMO
- Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
- Connect Silver CMS Standard - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus (No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Standard+ (Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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: 01-23-2024
Opt-Out End Date: 01-23-2026
Eligible to Order and Refer? No
Reviews for ANDREW R WALL LCPC
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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 | 3 | 7 | 6 | 8 | 9 | 9 | 7 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 14 | 6 | 16 | 9 | 18 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 4 + 6 + 1 + 6 + 9 + 1 + 8 + 7 + 1 + 8 + 24 = 81 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 90 - 81 = 9 | 9 | ||||||||
The NPI number 1376899799 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 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1710024187 | MS. NICOLE MEYER KLARICH LCPC Individual | Counselor (Mental Health) | 2302 W NORTH AVE SUITE 1E CHICAGO, IL 60647 (773) 524-2685 |
| 1447654520 | MS. KATHARINE MARIE KIEHN LCPC, ATR Individual | Counselor (Professional) | 2302 W NORTH AVE CHICAGO, IL 60647 (773) 710-3245 |
| 1255685145 | MS. MANYA ELIZABETH TREECE LCSW Individual | Social Worker (Clinical) | 2302 W NORTH AVE CHICAGO, IL 60647 (615) 948-8939 |
| 1316322811 | BAILEY AND ASSOCIATES, COUNSELING & PSYCHOTHERAPY Organization | Counselor | 2302 W NORTH AVE #1E CHICAGO, IL 60647 (312) 623-3260 |
| 1235502998 | BRANDY M JONES LCPC Individual | Counselor (Mental Health) | 2302 W NORTH AVE 1E CHICAGO, IL 60647 (872) 216-6451 |
| 1063818649 | MS. JACKIE LYNN BOUSEK ATR, LCPC Individual | Counselor (Professional) | 2302 W NORTH AVE #1E CHICAGO, IL 60647 (708) 320-8992 |
| 1568921385 | ELEXA O'DONNELL LCSW Individual | Social Worker (Clinical) | 2302 W NORTH AVE CHICAGO, IL 60647 (312) 344-3896 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376899799, enumerated in the NPI registry as an "individual" on August 03, 2012
The provider is located at 2302 W North Ave Unit 1e Chicago, Il 60647 and the phone number is (773) 551-7204
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on January 23, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 23, 2026.
This NPI record was last updated on August 03, 2012. 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.