Counselor In Gardendale Alabama

NPI list of 4 counselor registered providers with a business address in Gardendale, AL of which 1 are registered as organizations and 3 as individuals. A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

NPI Name Type Taxonomy Address Medicare PECOS
1215500665PROVIDENCE COUNSELING LLCOrganizationCounselor
(Professional)
214 BENSON RD
GARDENDALE, AL 35071
(205) 903-6719
Non-Participating ProviderNO
1316514904PHILLIP TERRELL WILLIAMSIndividualCounselor
(Mental Health)
214 BENSON RD
GARDENDALE, AL 35071
(205) 903-6719
Non-Participating ProviderNO
1346807732DANIELLE AUSTINIndividualCounselor
(Mental Health)
600 MAIN ST STE 101
GARDENDALE, AL 35071
(205) 607-2331
Non-Participating ProviderNO
1689838955GERALD W FRANKSIndividualCounselor2603 DECATUR HWY #204
GARDENDALE, AL 35071
(205) 317-4217
Non-Participating ProviderNO

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers 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.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.