CARL D VINCENT
NPI 1922019991
Counselor - Professional in Moline, IL

NPI Status: Active since August 11, 2006

Contact Information

2100 52ND AVE
MOLINE, IL
ZIP 61265
Phone: (309) 797-2900
Fax: (309) 797-2147

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  • Individual
  • Male
  • Years of Experience 29
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About CARL VINCENT

This page provides the complete NPI Profile along with additional information for Carl Vincent, a provider established in Moline, Illinois with a medical specialization in Counselor, focusing in professional and more than 29 years of experience. The healthcare provider is registered in the NPI registry with number 1922019991 assigned on August 2006. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1922019991
Provider Name
CARL D VINCENT
Gender
Male
Entity Type
Individual
Location Address
2100 52ND AVE MOLINE, IL 61265
Location Phone
(309) 797-2900
Location Fax
(309) 797-2147
Mailing Address
2100 52ND AVE MOLINE, IL 61265
Mailing Phone
(309) 797-2900
Mailing Fax
(309) 797-2147
Medical School Name
OTHER
Graduation Year
1997
Is Sole Proprietor?
No
Enumeration Date
08-11-2006
Last Update Date
07-08-2007
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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 Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License State
IL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • Connect Bronze 2000 Indiv Med Deductible - HMO
  • Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - Rx Copay - HMO
  • Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
  • Connect Silver CMS Standard - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value (Rx Copay, No Referrals) - HMO
  • UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage (No Referrals) - HMO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus (No Referrals) - HMO
  • UHC Gold Standard (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
  • Wellmark Bronze HDHP HMO HSA Qualified - HMO
  • Wellmark Bronze Standard | UnityPoint Health - HMO
  • Wellmark Bronze Traditional HMO - HMO
  • Wellmark Gold Primary Care | UnityPoint Health - HMO
  • Wellmark Gold Traditional HMO - HMO
  • Wellmark Silver Primary Care | UnityPoint Health - HMO
  • Wellmark Silver Traditional HMO - HMO
  • Wellmark Standard Bronze HMO - HMO
  • Wellmark Standard Gold HMO - HMO
  • Wellmark Standard Silver HMO - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
L78997MEDICARE UPIN (02)IL 

Medicare Participation & PECOS Enrollment Status

Carl Vincent 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.

Carl Vincent 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: 2163667635

    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: I20240304001853

    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 CARL D VINCENT

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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.
1922019991
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29420118918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 0 + 1 + 1 + 8 + 9 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1922019991 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396755740 GARY NORDICK PSY.D.
Individual
Psychologist2100 52ND AVE
MOLINE, IL 61265
(309) 797-2900
1811907272 ROBERT LOTT LCPC
Individual
Counselor (Professional)2100 52ND AVE
MOLINE, IL 61265
(309) 797-2900
1679584544DR. LYNN M GARVIN-HUNTLEY PH.D
Individual
Psychologist2100 52ND AVE
MOLINE, IL 61265
(309) 797-2900
1780695668 SHARON C LASH PSY.D.
Individual
Psychologist2100 52ND AVE
MOLINE, IL 61265
(309) 797-2900
1912918814 ANDREW FURGASON LCPC
Individual
Counselor (Professional)2100 52ND AVE
MOLINE, IL 61265
(309) 797-2900
1346251030 JAMES J PUGLIANO LCSW
Individual
Social Worker (Clinical)2100 52ND AVE
MOLINE, IL 61265
(309) 797-2900
1194830067 JAMES D RAY LCPC
Individual
Counselor (Professional)2100 52ND AVE
MOLINE, IL 61265
(309) 797-2900
1477668127 FRANK WOOLLEY LCSW
Individual
Social Worker (Clinical)2100 52ND AVE
MOLINE, IL 61265
(309) 797-2900
1649382706 BURT BOLT LCPC
Individual
Counselor (Professional)2100 52ND AVE
MOLINE, IL 61265
(309) 797-2900
1528078987DR. GARY BRENT LUDWIG PH.D
Individual
Psychologist2100 52ND AVE
MOLINE, IL 61265
(309) 797-2900
1831395524MRS. CYNTHIA M GREEN LCPC
Individual
Counselor (Professional)2100 52ND AVE
MOLINE, IL 61265
(309) 797-2900
1659719417MR. JUSTIN DWIGHT SHOEMAKER LCSW
Individual
Social Worker (Clinical)2100 52ND AVE
MOLINE, IL 61265
(309) 797-2900
1558470419SOUTHPARK PSYCHOLOGY LTD
Organization
Psychologist (Counseling)2100 52ND AVE
MOLINE, IL 61265
(309) 797-2900
1093798589MS. ROSEMARY JORDAN LCSW
Individual
Social Worker (Clinical)2100 52ND AVE
MOLINE, IL 61265
(309) 797-2900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922019991, enumerated in the NPI registry as an "individual" on August 11, 2006

The provider is located at 2100 52nd Ave Moline, Il 61265 and the phone number is (309) 797-2900

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider has more than 29 years of experience.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Cigna. 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 August 11, 2006. 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.