MR. ANDREW BRUCKER
NPI 1912591140
Counselor - Mental Health in Los Angeles, CA
NPI Status: Active since February 28, 2021
Contact Information
340 HAUSER BLVD APT 204
LOS ANGELES, CA
ZIP 90036
Phone: (213) 866-5173
- Individual
- Male
- Counselor
- Mental Health
- Opted-Out Medicare
About ANDREW BRUCKER
This page provides the complete NPI Profile along with additional information for Andrew Brucker, a provider established in Los Angeles, California with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1912591140 assigned on February 2021. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1912591140
- Provider Name
- MR. ANDREW BRUCKER
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 340 HAUSER BLVD APT 204 LOS ANGELES, CA 90036
- Location Phone
- (213) 866-5173
- Mailing Address
- 340 HAUSER BLVD APT 204 LOS ANGELES, CA 90036
- Mailing Phone
- (213) 866-5173
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-28-2021
- Last Update Date
- 09-09-2021
- Code Navigator
A mental health counselor like Andrew Brucker 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. Andrew Brucker opted out of Medicare effective on 08-28-2023 until 08-28-2025. 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 State
- CA
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: 08-28-2023
Opt-Out End Date: 08-28-2025
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 | 9 | 1 | 2 | 5 | 9 | 1 | 1 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 10 | 9 | 2 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 1 + 0 + 9 + 2 + 1 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1912591140 is valid because the calculated check digit 0 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 1912591140, enumerated in the NPI registry as an "individual" on February 28, 2021
The provider is located at 340 Hauser Blvd Apt 204 Los Angeles, Ca 90036 and the phone number is (213) 866-5173
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
No, the provider signed an affidavit on August 28, 2023 to opt-out of the Medicare program. The provider is excluded from the Medicare program until August 28, 2025.
This NPI record was last updated on February 28, 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].
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