MS. JACKIE SCARBOROUGH LPC
NPI 1508800897
Counselor - Professional in Fort Smith, AR
NPI Status: Active since June 16, 2006
Contact Information
3111 S 70TH ST
FORT SMITH, AR
ZIP 72903
Phone: (479) 452-6650
Fax: (479) 452-5847
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
- Opted-Out Medicare
About JACKIE SCARBOROUGH
This page provides the complete NPI Profile along with additional information for Jackie Scarborough, a provider established in Fort Smith, Arkansas with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1508800897 assigned on June 2006. The practitioner's primary taxonomy code is 101YP2500X with license number P9804009 (AR). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1508800897
- Provider Name
- MS. JACKIE SCARBOROUGH LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3111 S 70TH ST FORT SMITH, AR 72903
- Location Phone
- (479) 452-6650
- Location Fax
- (479) 452-5847
- Mailing Address
- 3111 S 70TH ST FORT SMITH, AR 72903
- Mailing Phone
- (479) 452-6650
- Mailing Fax
- (479) 452-5847
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-16-2006
- Last Update Date
- 07-08-2007
- 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. Jackie Scarborough opted out of Medicare effective on 06-26-2024 until 06-26-2026. 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.
- P9804009
- License State
- AR
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold (QualChoice) - POS
- Elite Gold (QualChoiceLife) - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Everyday Silver (QualChoiceLife) - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Standard Expanded Bronze + Vision + Adult Dental - PPO
- Standard Gold - PPO
- Standard Gold + Vision + Adult Dental - PPO
- Standard Silver - PPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Bronze Exp Standardized - PPO
- Bronze Value - PPO
- Gold Standardized - PPO
- Silver AH - PPO
- Silver Standardized - PPO
- Silver Value - PPO
- Dental Gold - PPO
- Dental Gold Plus Vision - PPO
- Dental Pediatric - PPO
- Dental Platinum - PPO
- Dental Platinum Plus Vision - PPO
- Dental Platinum Premium - PPO
- Dental Platinum Premium Plus Vision - PPO
- Dental Silver - PPO
- HA Bronze Exp Standardized - POS
- HA Bronze Suitcase - POS
- HA Gold Standardized - POS
- HA Silver AH - POS
- HA Silver Premier Suitcase - POS
- HA Silver Standardized - POS
- Octave Bronze Exp Standardized - POS
- Octave Bronze Value - POS
- Octave Gold Standardized - POS
- Octave Silver AH - POS
- Octave Silver Classic Suitcase - POS
- Octave Silver Standardized - POS
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 |
|---|---|---|---|
| 5S913 | MEDICARE ID-TYPE UNSPECIFIED (04) | AR |
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: 06-26-2024
Opt-Out End Date: 06-26-2026
Eligible to Order and Refer? No
Reviews for MS. JACKIE SCARBOROUGH 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 | 5 | 0 | 8 | 8 | 0 | 0 | 8 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 16 | 0 | 0 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 1 + 6 + 0 + 0 + 8 + 1 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1508800897 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1942275151 | EWA A BEYGA M.D. Individual | Psychiatry & Neurology (Psychiatry) | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1467407171 | MISS JOYCE E BOND LCSW Individual | Social Worker (Clinical) | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1477591816 | MS. SHARON STRAWN LCSW Individual | Social Worker (Clinical) | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1407897390 | MR. JERRY STEARMAN LPE Individual | Counselor (Professional) | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1861433815 | MS. LYNN C WASHINGTON LPC Individual | Counselor (Professional) | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1215979679 | MS. GINA MIESNER LPE Individual | Counselor (Professional) | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1487698767 | MS. MORGEN OXFORD MHPP Individual | Counselor (Mental Health) | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1245274315 | MS. KIMBERLY SUE DICKERSON LMSW Individual | Social Worker (Clinical) | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1700821659 | MR. JESSE DANIEL HEYDENREICH MHPP Individual | Counselor (Mental Health) | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1447295373 | MS. SHANNA COPELAND MHPP Individual | Counselor (Mental Health) | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1750326187 | MS. KAREN S INFIELD LPC Individual | Counselor (Professional) | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1215973466 | MR. MICHAEL L MIZE LPC Individual | Counselor (Professional) | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1942236047 | MR. GARY GREENWOOD LPC Individual | Counselor (Professional) | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1598791386 | MR. DANNY M RICHIE MHPP Individual | Counselor (Mental Health) | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1023044120 | MS. CINDY CLARK LPN Individual | Licensed Practical Nurse | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1508893660 | MR. JOHN SKELLY LPC Individual | Counselor (Professional) | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1770510794 | MS. EILEEN SCOTT MHPP Individual | Counselor (Mental Health) | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1285665638 | MS. JONI COGBILL SPEECH PATHOLOGIST Individual | Speech-Language Pathologist | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1215952452 | MS. LISA HATCHER MHPP Individual | Counselor (Mental Health) | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
| 1194740332 | MS. BECKY HAMER YOUNG MHPP Individual | Counselor (Mental Health) | 3111 S 70TH ST FORT SMITH, AR 72903 (479) 452-6650 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508800897, enumerated in the NPI registry as an "individual" on June 16, 2006
The provider is located at 3111 S 70th St Fort Smith, Ar 72903 and the phone number is (479) 452-6650
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. 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 June 26, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until June 26, 2026.
This NPI record was last updated on June 16, 2006. 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.