THEODORE EDWARD ROBINSON LPC
NPI 1568658011
Counselor - Mental Health in Broken Arrow, OK
NPI Status: Active since September 19, 2007
Contact Information
2035A W HOUSTON ST
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 505-4367
- Individual
- Male
- Counselor
- Mental Health
- Accepts Insurance
- Opted-Out Medicare
About THEODORE ROBINSON
This page provides the complete NPI Profile along with additional information for Theodore Robinson, a provider established in Broken Arrow, Oklahoma with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1568658011 assigned on September 2007. The practitioner's primary taxonomy code is 101YM0800X with license number 6094 (OK). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1568658011
- Provider Name
- THEODORE EDWARD ROBINSON LPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2035A W HOUSTON ST BROKEN ARROW, OK 74012
- Location Phone
- (918) 505-4367
- Mailing Address
- 2035A W HOUSTON ST BROKEN ARROW, OK 74012
- Mailing Phone
- (918) 851-7190
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-19-2007
- Last Update Date
- 10-13-2022
- Code Navigator
A mental health counselor like Theodore Robinson 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.
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. Theodore Robinson opted out of Medicare effective on 08-23-2024 until 08-23-2026. 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 Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6094
- 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
- CommunityCare Bronze IH223 - HMO
- CommunityCare Bronze IH224 - HMO
- CommunityCare Catastrophic - HMO
- CommunityCare Expanded Bronze Standardized - HMO
- CommunityCare Gold IH221 - HMO
- CommunityCare Gold L21 - HMO
- CommunityCare Gold Standardized - HMO
- CommunityCare Silver L21 - HMO
- CommunityCare Silver SLIH223 - HMO
- CommunityCare Silver Standardized - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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: 08-23-2024
Opt-Out End Date: 08-23-2026
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. | |||||||||
| 1 | 5 | 6 | 8 | 6 | 5 | 8 | 0 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 12 | 5 | 16 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 2 + 5 + 1 + 6 + 0 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1568658011 is valid because the calculated check digit 1 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 1568658011, enumerated in the NPI registry as an "individual" on September 19, 2007
The provider is located at 2035a W Houston St Broken Arrow, Ok 74012 and the phone number is (918) 505-4367
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma and. 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 August 23, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until August 23, 2026.
This NPI record was last updated on September 19, 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.