MS. ELISSA D MACKIE LPC
NPI 1639663818
Counselor - Professional in Arlington, TN
NPI Status: Active since June 20, 2018
Contact Information
5199 HIDEAWAY LN
ARLINGTON, TN
ZIP 38002
Phone: (901) 371-6964
- Individual
- Female
- Counselor
- Professional
- Opted-Out Medicare
About ELISSA MACKIE
This page provides the complete NPI Profile along with additional information for Elissa Mackie, a provider established in Arlington, Tennessee with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1639663818 assigned on June 2018. The practitioner's primary taxonomy code is 101YP2500X with license number 2896 (CO). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1639663818
- Provider Name
- MS. ELISSA D MACKIE LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5199 HIDEAWAY LN ARLINGTON, TN 38002
- Location Phone
- (901) 371-6964
- Mailing Address
- 6006 ARMISTEAD ST ARLINGTON, TN 38002
- Mailing Phone
- (901) 371-6964
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-20-2018
- Last Update Date
- 06-20-2018
- 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. Elissa Mackie opted out of Medicare effective on 09-24-2024 until 09-24-2026. 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.
- 2896
- License State
- CO
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: 09-24-2024
Opt-Out End Date: 09-24-2026
Eligible to Order and Refer? No
Reviews for MS. ELISSA D MACKIE 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 | 6 | 3 | 9 | 6 | 6 | 3 | 8 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 12 | 6 | 6 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 2 + 6 + 6 + 8 + 2 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1639663818 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902260664 | KARMA HOWARD Individual | Counselor (Professional) | 5199 HIDEAWAY LN ARLINGTON, TN 38002 (615) 946-2525 |
| 1871252197 | SECOND CHANCE RANCH COUNSELING AND EQUINE THERAPY, LLC Organization | Counselor (Mental Health) | 5199 HIDEAWAY LN BARTLETT, TN 38002 (901) 410-1977 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639663818, enumerated in the NPI registry as an "individual" on June 20, 2018
The provider is located at 5199 Hideaway Ln Arlington, Tn 38002 and the phone number is (901) 371-6964
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
No, the provider signed an affidavit on September 24, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until September 24, 2026.
This NPI record was last updated on June 20, 2018. 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].
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