MICHAEL TETI LSW, LCADC
NPI 1023721388
Counselor - Addiction (Substance Use Disorder) in Red Bank, NJ

NPI Status: Active since January 03, 2023

Contact Information

270 HIGHWAY 35
RED BANK, NJ
ZIP 07701
Phone: (732) 842-2000

Get Directions Write a Review

  • Individual
  • Male
  • Years of Experience 5
  • Counselor
  • Addiction (Substance Use Disorder)
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MICHAEL TETI

This page provides the complete NPI Profile along with additional information for Michael Teti, a provider established in Red Bank, New Jersey with a medical specialization in Counselor, focusing in addiction (substance use disorder) and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1023721388 assigned on January 2023. The practitioner's primary taxonomy code is 101YA0400X with license number 37LC00362200 (NJ). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1023721388
Provider Name
MICHAEL TETI LSW, LCADC
Gender
Male
Entity Type
Individual
Location Address
270 HIGHWAY 35 RED BANK, NJ 07701
Location Phone
(732) 842-2000
Mailing Address
40 BEAUMONT CT TINTON FALLS, NJ 07724
Mailing Phone
(732) 895-5879
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
01-03-2023
Last Update Date
01-03-2023
Code Navigator

A Substance Abuse or Addiction Counselor like Michael Teti advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

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 Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers
License No.
37LC00362200
License State
NJ

Insurance Plans Accepted

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

  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

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

Medicare Participation & PECOS Enrollment Status

Michael Teti 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.

Michael Teti 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: 5991205734

    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: I20250825004389

    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 MICHAEL TETI LSW, LCADC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1023721388, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
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 2 → 4 7 → 14 → 5 1 → 2 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 + 4 + 3 + 1 + 4 + 2 + 2 + 3 + 1 + 6 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1023721388.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
270 HIGHWAY 35, CPC BEHAVIORAL HEALTHCARE
RED BANK, NJ 07701
Social Worker
270 HIGHWAY 35
RED BANK, NJ 07701
Counselor (Mental Health)
270 HIGHWAY 35
RED BANK, NJ 07701
Social Worker
270 HIGHWAY 35
RED BANK, NJ 07701
Social Worker (Clinical)
270 HIGHWAY 35
RED BANK, NJ 07701
Counselor (Mental Health)
270 HIGHWAY 35
RED BANK, NJ 07701
Social Worker (Clinical)
270 HIGHWAY 35
RED BANK, NJ 07701
Counselor (Mental Health)
270 HIGHWAY 35
RED BANK, NJ 07701
Counselor (Professional)
270 HIGHWAY 35
RED BANK, NJ 07701
Psychiatry & Neurology (Psychiatry)
270 HIGHWAY 35
RED BANK, NJ 07701
Counselor (Addiction (Substance Use Disorder))
270 HIGHWAY 35
RED BANK, NJ 07701
Social Worker
270 HIGHWAY 35
RED BANK, NJ 07701
Social Worker (Clinical)
270 HIGHWAY 35
RED BANK, NJ 07701
Social Worker
270 HIGHWAY 35
RED BANK, NJ 07701
Pharmacist
270 HIGHWAY 35
RED BANK, NJ 07701
Clinic/Center
270 HIGHWAY 35
RED BANK, NJ 07701
Social Worker (Clinical)
270 HIGHWAY 35
RED BANK, NJ 07701
Social Worker (Clinical)
270 HIGHWAY 35
RED BANK, NJ 07701
Community/Behavioral Health
270 HIGHWAY 35
RED BANK, NJ 07701
Nurse Practitioner (Psychiatric/Mental Health)
270 HIGHWAY 35
RED BANK, NJ 07701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023721388, enumerated as an "individual" on January 03, 2023.

The provider is located at 270 HIGHWAY 35 RED BANK, NJ 07701 and the phone number is (732) 842-2000.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to verify.