LEEMARIE M SPATAFORA LPC
NPI 1003285180
Counselor - Professional in Loranger, LA

NPI Status: Active since September 18, 2015

Contact Information

54016 HIGHWAY 1062
LORANGER, LA
ZIP 70446
Phone: (985) 606-9000
Fax: (985) 878-9568

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  • Individual
  • Female
  • Counselor
  • Professional
  • Accepts Insurance
  • PECOS Enrolled

About LEEMARIE SPATAFORA

This page provides the complete NPI Profile along with additional information for Leemarie Spatafora, a provider established in Loranger, Louisiana with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1003285180 assigned on September 2015. The practitioner's primary taxonomy code is 101YP2500X with license number 4233 (LA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1003285180
Provider Name
LEEMARIE M SPATAFORA LPC
Gender
Female
Entity Type
Individual
Location Address
54016 HIGHWAY 1062 LORANGER, LA 70446
Location Phone
(985) 606-9000
Location Fax
(985) 878-9568
Mailing Address
PO BOX 395 CLINTON, LA 70722
Mailing Phone
(225) 683-5292
Mailing Fax
(985) 878-9568
Is Sole Proprietor?
No
Enumeration Date
09-18-2015
Last Update Date
08-12-2025
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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 No.
4233
License State
LA

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 (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
  • Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
  • Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
  • Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
  • Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
  • Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits - POS
  • Community Blue 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
  • Community Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Community Blue Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
  • Molina Gold Standard - HMO
  • Molina Silver Standard - HMO
  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO

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

Medicare Participation & PECOS Enrollment Status

Leemarie Spatafora 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, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

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

  • 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): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for LEEMARIE M SPATAFORA LPC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003285180, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 4 + 8 + 1 + 0 + 1 + 1 + 6 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1003285180.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Clinic/Center (Federally Qualified Health Center (FQHC))
54016 HIGHWAY 1062
LORANGER, LA 70446
Registered Nurse
54016 HIGHWAY 1062
LORANGER, LA 70446
Nurse Practitioner (Family)
54016 HIGHWAY 1062
LORANGER, LA 70446
Social Worker (Clinical)
54016 HIGHWAY 1062
LORANGER, LA 70446
Social Worker (Clinical)
54016 HIGHWAY 1062
LORANGER, LA 70446
Nurse Practitioner (Psychiatric/Mental Health)
54016 HIGHWAY 1062
LORANGER, LA 70446
Counselor (Professional)
54016 HIGHWAY 1062
LORANGER, LA 70446
Social Worker (Clinical)
54016 HIGHWAY 1062
LORANGER, LA 70446
Social Worker (Clinical)
54016 HIGHWAY 1062
LORANGER, LA 70446
Counselor (Professional)
54016 HIGHWAY 1062
LORANGER, LA 70446
Social Worker (Clinical)
54016 HIGHWAY 1062
LORANGER, LA 70446
Nurse Practitioner (Family)
54016 HIGHWAY 1062
LORANGER, LA 70446

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003285180, enumerated as an "individual" on September 18, 2015.

The provider is located at 54016 HIGHWAY 1062 LORANGER, LA 70446 and the phone number is (985) 606-9000.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.