MICHELLE BROOK
NPI 1790402394
Counselor - Professional in Bensalem, PA
NPI Status: Active since October 24, 2022
Contact Information
1950 STREET RD STE 410
BENSALEM, PA
ZIP 19020
Phone: (855) 284-7483
- Individual
- Female
- Years of Experience 5
- Counselor
- Professional
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MICHELLE BROOK
This page provides the complete NPI Profile along with additional information for Michelle Brook, a provider established in Bensalem, Pennsylvania with a medical specialization in Counselor, focusing in professional and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1790402394 assigned on October 2022. The practitioner's primary taxonomy code is 101YP2500X with license number PC015763 (PA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1790402394
- Provider Name
- MICHELLE BROOK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1950 STREET RD STE 410 BENSALEM, PA 19020
- Location Phone
- (855) 284-7483
- Mailing Address
- PO BOX 748465 ATLANTA, GA 30374
- Medical School Name
- OTHER
- Graduation Year
- 2021
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-24-2022
- Last Update Date
- 05-30-2023
- Code Navigator
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.
- PC015763
- License State
- PA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Michelle Brook is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Michelle Brook is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
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.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5597114223
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20231207000117
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for MICHELLE BROOK
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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 | 7 | 9 | 0 | 4 | 0 | 2 | 3 | 9 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 18 | 0 | 8 | 0 | 4 | 3 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 8 + 0 + 8 + 0 + 4 + 3 + 1 + 8 + 24 = 66 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 66 = 4 | 4 |
The NPI number 1790402394 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1386257160 | SAMIYRAH WEAVER Individual | Counselor (Professional) | 1950 STREET RD STE 410 BENSALEM, PA 19020 (215) 874-8002 |
1205439742 | KELLYN PATRICIA SWANSON Individual | Counselor (Professional) | 1950 STREET RD STE 410 BENSALEM, PA 19020 (215) 874-8002 |
1639765969 | JENNIFER LAURICELLA Individual | Counselor (Professional) | 1950 STREET RD STE 410 BENSALEM, PA 19020 (215) 874-8002 |
1255925822 | RYAN E MCMULLEN Individual | Counselor (Professional) | 1950 STREET RD STE 410 BENSALEM, PA 19020 (215) 874-8002 |
1649842774 | JULIA VANCE Individual | Counselor (Professional) | 1950 STREET RD STE 410 BENSALEM, PA 19020 (215) 782-6844 |
1598428948 | MS. ERIN MARY MCGRODY LPC Individual | Counselor (Professional) | 1950 STREET RD STE 410 BENSALEM, PA 19020 (215) 782-6844 |
1154919082 | CASSANDRA GOOD LPC Individual | Counselor (Mental Health) | 1950 STREET RD STE 410 BENSALEM, PA 19020 (617) 379-0496 |
1295295046 | MARSHA BELLAMY Individual | Counselor (Professional) | 1950 STREET RD STE 410 BENSALEM, PA 19020 (855) 284-7483 |
1962100792 | JOHNATHAN ERTWINE Individual | Counselor (Professional) | 1950 STREET RD STE 410 BENSALEM, PA 19020 (855) 284-7483 |
1447029111 | AMANDA WILK Individual | Counselor (Professional) | 1950 STREET RD STE 410 BENSALEM, PA 19020 (855) 284-7483 |
1811615099 | LAUREN REIFF Individual | Counselor (Mental Health) | 1950 STREET RD STE 410 BENSALEM, PA 19020 (215) 782-6844 |
1801657101 | NAOMI RYBALOV Individual | Counselor (Professional) | 1950 STREET RD STE 410 BENSALEM, PA 19020 (855) 284-7483 |
1992563779 | MARIAH WILLIAMS Individual | Counselor (Professional) | 1950 STREET RD STE 410 BENSALEM, PA 19020 (855) 284-7483 |
1033979406 | BRITTANY MAX Individual | Social Worker (Clinical) | 1950 STREET RD STE 410 BENSALEM, PA 19020 (855) 284-7483 |
1538630413 | AMANDA HERNANDEZ MA Individual | Counselor (Professional) | 1950 STREET RD STE 410 BENSALEM, PA 19020 (215) 782-6844 |
1902557002 | COLTON JAMES KLOSINSKI Individual | Counselor (Professional) | 1950 STREET RD STE 410 BENSALEM, PA 19020 (855) 284-7483 |
1689406027 | KIMBERLY MARIE HEITZMAN Individual | Social Worker | 1950 STREET RD STE 410 BENSALEM, PA 19020 (855) 675-4010 |
1003913757 | DR. DAVID WORTH HARMAN PH.D. Individual | Psychologist (Clinical) | 1950 STREET RD STE 410 BENSALEM, PA 19020 (610) 348-7511 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790402394, enumerated in the NPI registry as an "individual" on October 24, 2022
The provider is located at 1950 Street Rd Ste 410 Bensalem, Pa 19020 and the phone number is (855) 284-7483
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider has more than 5 years of experience.
The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on October 24, 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.