RICHARD HALLIBURTON
NPI 1780076877
Counselor - Mental Health in Matthews, NC

NPI Status: Active since February 26, 2015

Contact Information

1122 SAM NEWELL RD
SUITE 112
MATTHEWS, NC
ZIP 28105
Phone: (980) 292-3586

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  • Individual
  • Male
  • Counselor
  • Mental Health
  • Opted-Out Medicare

About RICHARD HALLIBURTON

This page provides the complete NPI Profile along with additional information for Richard Halliburton, a provider established in Matthews, North Carolina with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1780076877 assigned on February 2015. The practitioner's primary taxonomy code is 101YM0800X with license number A11374 (NC). The provider is registered as an individual and his NPI record was last updated 10 years ago. Richard Halliburton operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

NPI
1780076877
Provider Name
RICHARD HALLIBURTON
Gender
Male
Entity Type
Individual
Location Address
1122 SAM NEWELL RD SUITE 112 MATTHEWS, NC 28105
Location Phone
(980) 292-3586
Mailing Address
1122 SAM NEWELL RD SUITE 112 MATTHEWS, NC 28105
Is Sole Proprietor?
Yes
Enumeration Date
02-26-2015
Last Update Date
02-26-2015
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A mental health counselor like Richard Halliburton 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. Richard Halliburton opted out of Medicare effective on 01-22-2024 until 01-22-2026. 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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
A11374
License State
NC

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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: 01-22-2024

  • Opt-Out End Date: 01-22-2026

  • Eligible to Order and Refer? No

Reviews for RICHARD HALLIBURTON

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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.
1780076877
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271600712814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 0 + 7 + 1 + 2 + 8 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1780076877 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497086110MARY ANN MCGANNON, LPC, LLC
Organization
Counselor1122 SAM NEWELL RD STE 103
MATTHEWS, NC 28105
(803) 431-6103
1972849065VANDERHALL COUNSELING SERVICES, PLLC
Organization
Counselor (Professional)1122 SAM NEWELL RD SUITE 105
MATTHEWS, NC 28105
(704) 995-6279
1093012320 KATRINA ANN JOHNSON BCBA, LPA
Individual
Psychologist1122 SAM NEWELL RD STE 104
MATTHEWS, NC 28105
(704) 277-7018
1366834921ALLIANCE COUNSELING AND TRAINING CENTER
Organization
Counselor (Professional)1122 SAM NEWELL RD SUITE 112
MATTHEWS, NC 28105
(980) 292-3586
1710252960 BERNADETTE AGNES CHRISTI LPC
Individual
Counselor (Professional)1122 SAM NEWELL RD 112
MATTHEWS, NC 28105
(980) 224-6130
1407932825MS. GLENISE BOOTHBY PARROTT LCSW
Individual
Social Worker (Clinical)1122 SAM NEWELL RD STE 106
MATTHEWS, NC 28105
(704) 243-8776

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780076877, enumerated in the NPI registry as an "individual" on February 26, 2015

The provider is located at 1122 Sam Newell Rd Suite 112 Matthews, Nc 28105 and the phone number is (980) 292-3586

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

No, the provider signed an affidavit on January 22, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 22, 2026.

This NPI record was last updated on February 26, 2015. 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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