EAGLE EYE COUNSELING & CONSULTING, PLLC
NPI 1447798640
Counselor - Mental Health in Matthews, NC
NPI Status: Active since February 08, 2017
Contact Information
1118 SAM NEWELL RD
MATTHEWS, NC
ZIP 28105
Phone: (704) 750-1007
- Organization
- Counselor
- Mental Health
- Accepts Insurance
About EAGLE EYE COUNSELING & CONSULTING, PLLC
This page provides the complete NPI Profile along with additional information for Eagle Eye Counseling & Consulting, Pllc, a provider established in Matthews, North Carolina operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1447798640 assigned on February 2017. The practitioner's primary taxonomy code is 101YM0800X with license number S7638 (NC). The provider is registered as an organization and their NPI record was last updated 9 years ago. Eagle Eye Counseling & Consulting, Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Lily Mudry Lpc-s, Lcas, Ccs (Owner)
- NPI
- 1447798640
- Provider Name
- EAGLE EYE COUNSELING & CONSULTING, PLLC
- Entity Type
- Organization
- Location Address
- 1118 SAM NEWELL RD MATTHEWS, NC 28105
- Location Phone
- (704) 750-1007
- Mailing Address
- 1775 APPLE TREE LN FORT MILL, SC 29715
- Mailing Phone
- (704) 421-4746
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-08-2017
- Last Update Date
- 02-08-2017
- Code Navigator
A mental health counselor like Eagle Eye Counseling & Consulting, Pllc 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.
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.
- S7638
- License State
- NC
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 | 7638 (NC) |
| 2 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 1717 (NC) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1366755282 | MEDICAID (05) | NC |
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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 | 4 | 4 | 7 | 7 | 9 | 8 | 6 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 8 | 7 | 14 | 9 | 16 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 8 + 7 + 1 + 4 + 9 + 1 + 6 + 6 + 8 + 24 = 80 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1447798640 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1124677760 | AMY B WYNN LCSW Individual | Social Worker (Clinical) | 1118 SAM NEWELL RD MATTHEWS, NC 28105 (980) 288-4098 |
| 1699411090 | ZACHARY LEE MSW, LCSWA Individual | Social Worker (Clinical) | 1118 SAM NEWELL RD MATTHEWS, NC 28105 (704) 919-5155 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447798640, enumerated in the NPI registry as an "organization" on February 08, 2017
The provider is located at 1118 Sam Newell Rd Matthews, Nc 28105 and the phone number is (704) 750-1007
This medical organization specializes in Counselor with taxonomy code 101YM0800X with a focus in Mental Health
The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 08, 2017. 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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