ELISABETH GEHRKE LPC
NPI 1386128932
Counselor in Elm Grove, WI
NPI Status: Active since September 19, 2018
Contact Information
12970 W BLUEMOUND RD STE 200
ELM GROVE, WI
ZIP 53122
Phone: (262) 780-1022
- Individual
- Female
- Counselor
- Accepts Insurance
- Opted-Out Medicare
About ELISABETH GEHRKE
This page provides the complete NPI Profile along with additional information for Elisabeth Gehrke, a provider established in Elm Grove, Wisconsin with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1386128932 assigned on September 2018. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1386128932
- Provider Name
- ELISABETH GEHRKE LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122
- Location Phone
- (262) 780-1022
- Mailing Address
- 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-19-2018
- Last Update Date
- 09-19-2018
- 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. Elisabeth Gehrke opted out of Medicare effective on 08-28-2024 until 08-28-2026. 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
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License State
- WI
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
- Essentia Choice Care with Medica Bronze HSA - EPO
- Essentia Choice Care with Medica Bronze Share - EPO
- Essentia Choice Care with Medica Expanded Bronze Standard - EPO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Gold Share - EPO
- Essentia Choice Care with Medica Gold Standard - EPO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Silver Share - EPO
- Essentia Choice Care with Medica Silver Standard - EPO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value HSA (No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Gold Standard (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus (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: 08-28-2024
Opt-Out End Date: 08-28-2026
Eligible to Order and Refer? No
Reviews for ELISABETH GEHRKE 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. | |||||||||
| 1 | 3 | 8 | 6 | 1 | 2 | 8 | 9 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 2 | 2 | 16 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 2 + 2 + 1 + 6 + 9 + 6 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1386128932 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346732740 | LEAH E MCMILLIAN LPC-IT Individual | Counselor (Professional) | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (262) 780-1020 |
| 1366642456 | MR. KENDALL LEE CROOK MA, LPC Individual | Counselor (Professional) | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (262) 780-1020 |
| 1972889160 | MR. LEONARD JOSEPH DELVECCHIO MA, LPC Individual | Counselor (Professional) | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (262) 780-1020 |
| 1619374188 | ANDREA MIDDLESWORTH LPC Individual | Counselor (Mental Health) | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (252) 780-1020 |
| 1174743678 | MRS. HEIDI LYNN CONTO LCSW Individual | Counselor | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (262) 780-1020 |
| 1902449267 | JENNIFER SUMIEC LPC Individual | Counselor (Professional) | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (262) 780-1020 |
| 1265092167 | KIMBERLY BRANDHAGEN APSW, SAC-IT Individual | Social Worker | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (262) 780-1020 |
| 1861004848 | MICHAELA R KLIMKO LPC Individual | Counselor (Professional) | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (262) 780-1020 |
| 1750151189 | OPTUM BEHAVIORAL CARE OF COLORADO, P.C. Organization | Psychologist (Clinical) | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (704) 506-6267 |
| 1215073747 | MRS. JUDY WANG LUE BERTONI CSAC, ICS, LPC Individual | Counselor (Professional) | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (262) 780-1020 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386128932, enumerated in the NPI registry as an "individual" on September 19, 2018
The provider is located at 12970 W Bluemound Rd Ste 200 Elm Grove, Wi 53122 and the phone number is (262) 780-1022
The provider's speciality is Counselor with taxonomy code 101Y00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medica and. 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 August 28, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until August 28, 2026.
This NPI record was last updated on September 19, 2018. 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.