KELLY HERZBERG
NPI 1679167068
Counselor - Mental Health in Tacoma, WA
NPI Status: Active since February 25, 2021
Contact Information
1148 BROADWAY STE 100
TACOMA, WA
ZIP 98402
Phone: (253) 597-4550
- Individual
- Female
- Counselor
- Mental Health
- Opted-Out Medicare
About KELLY HERZBERG
This page provides the complete NPI Profile along with additional information for Kelly Herzberg, a provider established in Tacoma, Washington with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1679167068 assigned on February 2021. The practitioner's primary taxonomy code is 101YM0800X with license number LH60585400 (WA). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1679167068
- Provider Name
- KELLY HERZBERG
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1148 BROADWAY STE 100 TACOMA, WA 98402
- Location Phone
- (253) 597-4550
- Mailing Address
- 1148 BROADWAY STE 100 TACOMA, WA 98402
- Mailing Phone
- (253) 597-4550
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-25-2021
- Last Update Date
- 02-25-2021
- Code Navigator
A mental health counselor like Kelly Herzberg 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. Kelly Herzberg opted out of Medicare effective on 10-08-2024 until 10-08-2026. 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.
- LH60585400
- License State
- WA
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: 10-08-2024
Opt-Out End Date: 10-08-2026
Eligible to Order and Refer? No
Reviews for KELLY HERZBERG
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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 | 7 | 9 | 1 | 6 | 7 | 0 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 2 | 6 | 14 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 2 + 6 + 1 + 4 + 0 + 1 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1679167068 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275010480 | ROSEMARY GRACE COOPER Individual | Case Manager/Care Coordinator | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 722-1539 |
| 1922529403 | YARELI AGUIRRE Individual | Physician Assistant | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 722-1539 |
| 1427581776 | MS. XINHONG QIU Individual | Dentist (General Practice) | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 722-1539 |
| 1790762755 | COMMUNITY HEALTH CARE Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 597-4550 |
| 1497852123 | DR. DEBORAH SINGER HAMMOND MD Individual | Family Medicine (Adult Medicine) | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 722-1539 |
| 1417137399 | MS. KAREN ANN LANDWEHR M.C. Individual | Counselor (Mental Health) | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 471-8342 |
| 1386290583 | MYUNG JIN MARIA CHO DDS Individual | Dentist (General Practice) | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 597-4550 |
| 1710529987 | REBECCA DAWN LONG NP Individual | Nurse Practitioner (Family) | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 597-4550 |
| 1578614830 | MELINDA J CARTER ARNP Individual | Nurse Practitioner | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 597-4550 |
| 1851866602 | SAMALIE SSEBA ARNP Individual | Nurse Practitioner (Family) | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 597-4550 |
| 1811492150 | JAVIER EDUARDO FREGOSO MA Individual | Counselor (Mental Health) | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 597-4550 |
| 1114997681 | MR. JOHN M GARCIA PA C Individual | Physician Assistant (Medical) | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 722-2161 |
| 1336798974 | OSADEBAMWEN OMOREGIE Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 722-2161 |
| 1467986513 | DR. VAN THUC CHAU MD Individual | Pediatrics | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 722-2161 |
| 1346218617 | ROSE ANNE CASSIDY NP Individual | Nurse Practitioner (Family) | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 722-2161 |
| 1407442734 | MIRIAM ARONOFF Individual | Psychologist | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 597-4550 |
| 1598784233 | HENRY DAVIS MD Individual | Family Medicine | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 722-2161 |
| 1528448602 | EDWARD SETO MD Individual | Family Medicine | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 722-2161 |
| 1346715992 | MRS. TABITHA MICHELLE KURIA ED.S Individual | Counselor (Mental Health) | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 722-2161 |
| 1689265951 | MR. JARYD ZAPATKA Individual | Physician Assistant | 1148 BROADWAY STE 100 TACOMA, WA 98402 (253) 722-2161 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679167068, enumerated in the NPI registry as an "individual" on February 25, 2021
The provider is located at 1148 Broadway Ste 100 Tacoma, Wa 98402 and the phone number is (253) 597-4550
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
No, the provider signed an affidavit on October 08, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until October 08, 2026.
This NPI record was last updated on February 25, 2021. 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.