MARY APRILL MS, LPC, SAC, SEP-IT
NPI 1982114328
Counselor - Mental Health in Verona, WI
NPI Status: Active since October 11, 2017
- Individual
- Female
- Counselor
- Mental Health
- Accepts Insurance
- Opted-Out Medicare
About MARY APRILL
This page provides the complete NPI Profile along with additional information for Mary Aprill, a provider established in Verona, Wisconsin with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1982114328 assigned on October 2017. The practitioner's primary taxonomy code is 101YM0800X with license number 7615-125 (WI). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1982114328
- Provider Name
- MARY APRILL MS, LPC, SAC, SEP-IT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 200 W VERONA AVE VERONA, WI 53593
- Location Phone
- (608) 247-5331
- Mailing Address
- 200 W VERONA AVE VERONA, WI 53593
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-11-2017
- Last Update Date
- 05-01-2023
- Code Navigator
A mental health counselor like Mary Aprill 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. Mary Aprill opted out of Medicare effective on 01-01-2024 until 01-01-2026. 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
Secondary Locations
- 310 N Midvale Blvd Ste 202
Madison, WI 53705
(608) 238-9991
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.
- 7615-125
- License State
- WI
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 16445-131 (WI) |
| 3 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Dean Bronze $0 Copay PCP Visits - HMO
- Dean Bronze Share - HMO
- Dean Catastrophic - HMO
- Dean Expanded Bronze Standard - HMO
- Dean Focus Bronze $0 Copay PCP Visits - EPO
- Dean Focus Bronze Share - EPO
- Dean Focus Catastrophic - EPO
- Dean Focus Expanded Bronze Standard - EPO
- Dean Focus Gold HSA - EPO
- Dean Focus Gold Share - EPO
- Dean Focus Gold Standard - EPO
- Dean Focus Silver $0 Copay PCP Visits - EPO
- Dean Focus Silver Share - EPO
- Dean Focus Silver Standard - EPO
- Dean Gold HSA - HMO
- Dean Gold Share - HMO
- Dean Gold Standard - HMO
- Dean Silver $0 Copay PCP Visits - HMO
- Dean Silver Share - HMO
- Dean Silver Standard - HMO
- Better Together HMO Bronze 6500 Ded/8000 MOOP - HMO
- Better Together HMO Bronze 7500 Ded/9200 MOOP - HMO
- Better Together HMO Bronze No Medical Ded/9200 MOOP - HMO
- Better Together HMO Gold 1000 Ded/6000 MOOP with Vision - HMO
- Better Together HMO Gold 1500 Ded/7800 MOOP - HMO
- Better Together HMO Gold 2900 Ded/2900 MOOP HSA - HMO
- Better Together HMO Platinum 500 Ded/1500 MOOP with Vision - HMO
- Better Together HMO Platinum No Ded/2800 MOOP - HMO
- Better Together HMO Platinum No Ded/4300 MOOP - HMO
- Better Together HMO Silver 4100 Ded/7500 MOOP with Vision - HMO
- Better Together HMO Silver 5000 Ded/8000 MOOP - HMO
- Better Together HMO Silver 5500 Ded/5500 MOOP HSA - HMO
- Partners HMO Bronze 5000 Ded/9200 MOOP - HMO
- Partners HMO Bronze 7500 Ded/9200 MOOP - HMO
- Partners HMO Bronze 7900 Ded/7900 MOOP HSA - HMO
- Partners HMO Gold 1000 Ded/6000 MOOP with Vision - HMO
- Partners HMO Gold 1500 Ded/7800 MOOP - HMO
- Partners HMO Gold 2900 Ded/2900 MOOP HSA - HMO
- Partners HMO Silver 4100 Ded/7500 MOOP with Vision - HMO
- Partners HMO Silver 5000 Ded/8000 MOOP - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $0 DED FLAT RX COPAYS - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $7000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $7000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL - HMO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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: 01-01-2024
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? No
Reviews for MARY APRILL MS, LPC, SAC, SEP-IT
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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 | 8 | 2 | 1 | 1 | 4 | 3 | 2 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 16 | 2 | 2 | 1 | 8 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 6 + 2 + 2 + 1 + 8 + 3 + 4 + 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 1982114328 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 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1659971224 | KATHERINE GOERMAN MS LMFT Individual | Marriage & Family Therapist | 200 W VERONA AVE VERONA, WI 53593 (608) 254-9539 |
| 1003488362 | WINDING PATH PSYCHOTHERAPY Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 200 W VERONA AVE VERONA, WI 53593 (608) 354-2397 |
| 1134503162 | MRS. CLAIRE ARENA LCSW, MPH Individual | Social Worker (Clinical) | 200 W VERONA AVE VERONA, WI 53593 (608) 247-5247 |
| 1194012518 | SHEILA JO OHNSTAD JOHNSON LMFT, CSAC Individual | Marriage & Family Therapist | 200 W VERONA AVE VERONA, WI 53593 (608) 354-2397 |
| 1154614501 | LAURA ANN ALMOND M.ED., CSAC Individual | Counselor (Professional) | 200 W VERONA AVE VERONA, WI 53593 (608) 490-5343 |
| 1427549815 | CLAIRE ELIZABETH RIDDIOUGH MSW, LCSW Individual | Social Worker (Clinical) | 200 W VERONA AVE VERONA, WI 53593 (608) 347-5746 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982114328, enumerated in the NPI registry as an "individual" on October 11, 2017
The provider is located at 200 W Verona Ave Verona, Wi 53593 and the phone number is (608) 247-5331
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Dean Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on January 01, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2026.
This NPI record was last updated on October 11, 2017. 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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