BRIAN CHILDS
NPI 1528263944
Counselor - Professional in Sallisaw, OK
NPI Status: Active since June 16, 2007
Contact Information
101 N WHEELER AVE
SALLISAW, OK
ZIP 74955
Phone: (918) 775-5513
Fax: (918) 775-5526
- Individual
- Male
- Years of Experience 33
- Counselor
- Professional
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About BRIAN CHILDS
This page provides the complete NPI Profile along with additional information for Brian Childs, a provider established in Sallisaw, Oklahoma with a medical specialization in Counselor, focusing in professional and more than 33 years of experience. The healthcare provider is registered in the NPI registry with number 1528263944 assigned on June 2007. The practitioner's primary taxonomy code is 101YP2500X with license number 3198 (OK). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1528263944
- Provider Name
- BRIAN CHILDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 101 N WHEELER AVE SALLISAW, OK 74955
- Location Phone
- (918) 775-5513
- Location Fax
- (918) 775-5526
- Mailing Address
- PO BOX 558 TAHLEQUAH, OK 74465
- Mailing Phone
- (918) 775-5513
- Mailing Fax
- (918) 775-5526
- Medical School Name
- OTHER
- Graduation Year
- 1993
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-16-2007
- Last Update Date
- 07-08-2007
- Code Navigator
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.
- 3198
- License State
- OK
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Brian Childs is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Brian Childs is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
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.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6103263132
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240326001467
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for BRIAN CHILDS
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 2 | 8 | 2 | 6 | 3 | 9 | 4 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 4 | 8 | 4 | 6 | 6 | 9 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 4 + 8 + 4 + 6 + 6 + 9 + 8 + 24 = 76 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 76 = 4 | 4 |
The NPI number 1528263944 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1437354859 | MARY BLEVINS Individual | Counselor (Addiction (Substance Use Disorder)) | 101 N WHEELER AVE SALLISAW, OK 74955 (918) 775-5513 |
1790980118 | KARI DRY Individual | Counselor (Mental Health) | 101 N WHEELER AVE SALLISAW, OK 74955 (918) 775-3081 |
1063617488 | DOROTHY HURLEY Individual | Counselor (Mental Health) | 101 N WHEELER AVE SALLISAW, OK 74955 (918) 775-5513 |
1780889105 | ROBERT STEWART Individual | Counselor (Mental Health) | 101 N WHEELER AVE SALLISAW, OK 74955 (918) 775-3081 |
1518162932 | KENT FIELDS Individual | Counselor (Mental Health) | 101 N WHEELER AVE SALLISAW, OK 74955 (918) 775-5513 |
1881899201 | DONNA ISABEL Individual | Registered Nurse (Psychiatric/Mental Health) | 101 N WHEELER AVE SALLISAW, OK 74955 (918) 775-5513 |
1144425562 | DEBBIE MATTHEWS Individual | Counselor (Mental Health) | 101 N WHEELER AVE SALLISAW, OK 74955 (918) 775-3081 |
1073718490 | CAROLYN CHETEER Individual | Counselor (Mental Health) | 101 N WHEELER AVE SALLISAW, OK 74955 (918) 775-3081 |
1952593071 | PHILLIP L. KROPP Individual | Counselor (Mental Health) | 101 N WHEELER AVE SALLISAW, OK 74955 (918) 775-5513 |
1073789855 | LINDA O'MAHONY Individual | Registered Nurse | 101 N WHEELER AVE SALLISAW, OK 74955 (918) 775-5513 |
1669791422 | APRIL LYNN FAIRCLOTH Individual | Counselor (Mental Health) | 101 N WHEELER AVE SALLISAW, OK 74955 (918) 235-9903 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528263944, enumerated in the NPI registry as an "individual" on June 16, 2007
The provider is located at 101 N Wheeler Ave Sallisaw, Ok 74955 and the phone number is (918) 775-5513
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider has more than 33 years of experience.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on June 16, 2007. 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.