ALYSSA DANEL MEDINA
NPI 1437758075
Counselor - Professional in Virginia Beach, VA

NPI Status: Active since October 24, 2020

Contact Information

4831 COLUMBUS ST UNIT 61202
VIRGINIA BEACH, VA
ZIP 23466
Phone: (757) 797-4140

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  • Individual
  • Female
  • Counselor
  • Professional
  • Opted-Out Medicare

About ALYSSA MEDINA

This page provides the complete NPI Profile along with additional information for Alyssa Medina, a provider established in Virginia Beach, Virginia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1437758075 assigned on October 2020. The practitioner's primary taxonomy code is 101YP2500X with license number 0701010018 (VA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1437758075
Provider Name
ALYSSA DANEL MEDINA
Gender
Female
Entity Type
Individual
Location Address
4831 COLUMBUS ST UNIT 61202 VIRGINIA BEACH, VA 23466
Location Phone
(757) 797-4140
Mailing Address
4831 COLUMBUS ST UNIT 61202 VIRGINIA BEACH, VA 23466
Mailing Phone
(757) 797-4140
Is Sole Proprietor?
Yes
Enumeration Date
10-24-2020
Last Update Date
09-04-2024
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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. Alyssa Medina opted out of Medicare effective on 01-02-2024 until 01-02-2026. 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.

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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.
0701010018
License State
VA

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: 01-02-2024

  • Opt-Out End Date: 01-02-2026

  • Eligible to Order and Refer? No

Reviews for ALYSSA DANEL MEDINA

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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.
1437758075
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
246714516014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 1 + 4 + 5 + 1 + 6 + 0 + 1 + 4 + 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 = 55

The NPI number 1437758075 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346096609PHOENIX COUNSELING SERVICES, LLC
Organization
Counselor (Mental Health)4831 COLUMBUS ST UNIT 61202
VIRGINIA BEACH, VA 23466
(757) 797-4140

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437758075, enumerated in the NPI registry as an "individual" on October 24, 2020

The provider is located at 4831 Columbus St Unit 61202 Virginia Beach, Va 23466 and the phone number is (757) 797-4140

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

No, the provider signed an affidavit on January 02, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 02, 2026.

This NPI record was last updated on October 24, 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].
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.