LANE BALABAN LPC
NPI 1568186906
Counselor - Professional in East Windsor, NJ

NPI Status: Active since September 29, 2022

Contact Information

38 ARISTOTLE WAY
EAST WINDSOR, NJ
ZIP 08512
Phone: (973) 370-3143

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

About LANE BALABAN

This page provides the complete NPI Profile along with additional information for Lane Balaban, a provider established in East Windsor, New Jersey with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1568186906 assigned on September 2022. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1568186906
Provider Name
LANE BALABAN LPC
Gender
Female
Entity Type
Individual
Location Address
38 ARISTOTLE WAY EAST WINDSOR, NJ 08512
Location Phone
(973) 370-3143
Mailing Address
38 ARISTOTLE WAY EAST WINDSOR, NJ 08512
Mailing Phone
(973) 370-3143
Is Sole Proprietor?
Yes
Enumeration Date
09-29-2022
Last Update Date
09-03-2024
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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. Lane Balaban opted out of Medicare effective on 02-12-2024 until 02-12-2026. 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

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: 02-12-2024

  • Opt-Out End Date: 02-12-2026

  • Eligible to Order and Refer? No

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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.
1568186906
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128281290
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 2 + 8 + 1 + 2 + 9 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1568186906 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568186906, enumerated in the NPI registry as an "individual" on September 29, 2022

The provider is located at 38 Aristotle Way East Windsor, Nj 08512 and the phone number is (973) 370-3143

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

No, the provider signed an affidavit on February 12, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until February 12, 2026.

This NPI record was last updated on September 29, 2022. 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.