KRISTA WILSON LCPC
NPI 1548883390
Counselor - Professional in Evanston, IL
NPI Status: Active since May 27, 2020
Contact Information
800 CUSTER AVE STE 5
EVANSTON, IL
ZIP 60202
Phone: (847) 425-1500
Fax: (847) 972-6277
- Individual
- Female
- Counselor
- Professional
- Opted-Out Medicare
About KRISTA WILSON
This page provides the complete NPI Profile along with additional information for Krista Wilson, a provider established in Evanston, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1548883390 assigned on May 2020. The practitioner's primary taxonomy code is 101YP2500X with license number 178.016784 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1548883390
- Provider Name
- KRISTA WILSON LCPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 800 CUSTER AVE STE 5 EVANSTON, IL 60202
- Location Phone
- (847) 425-1500
- Location Fax
- (847) 972-6277
- Mailing Address
- 800 CUSTER AVE STE 5 EVANSTON, IL 60202
- Mailing Phone
- (847) 425-1500
- Mailing Fax
- (847) 972-6277
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-27-2020
- Last Update Date
- 09-09-2024
- 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. Krista Wilson opted out of Medicare effective on 09-03-2024 until 09-03-2026. 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.
- 178.016784
- License State
- IL
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 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | LPCC.0017610 (CO) |
| 2 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 180.016352 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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 |
|---|---|---|---|
| 180.016352 | OTHER (01) | IL | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION - LCPC |
| 178.016784 | OTHER (01) | IL | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION - LPC |
| LPCC.0017610 | OTHER (01) | CO | DEPARTMENT OF REGULATORY AGENCIES |
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: 09-03-2024
Opt-Out End Date: 09-03-2026
Eligible to Order and Refer? No
Reviews for KRISTA WILSON LCPC
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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 | 4 | 8 | 8 | 8 | 3 | 3 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 16 | 8 | 6 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 1 + 6 + 8 + 6 + 3 + 1 + 8 + 24 = 80 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1548883390 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 provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861538894 | AMY L. STEINHAUER AM, LCSW, ACSW, CST Individual | Social Worker (Clinical) | 800 CUSTER AVE STE 5 EVANSTON, IL 60202 (847) 425-1500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548883390, enumerated in the NPI registry as an "individual" on May 27, 2020
The provider is located at 800 Custer Ave Ste 5 Evanston, Il 60202 and the phone number is (847) 425-1500
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider might be accepting Accepts: Medicare and Medicaid. 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 September 03, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until September 03, 2026.
This NPI record was last updated on May 27, 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.