MICHAEL THOMAS VENEZIA LPC
NPI 1053721431
Counselor - Mental Health in Huntsville, AL
NPI Status: Active since May 06, 2014
Contact Information
4800 WHITESPORT CIR SW
SUITE 2
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 533-9393
Fax: (256) 533-9690
- Individual
- Male
- Counselor
- Mental Health
- Accepts Insurance
- Opted-Out Medicare
About MICHAEL VENEZIA
This page provides the complete NPI Profile along with additional information for Michael Venezia, a provider established in Huntsville, Alabama with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1053721431 assigned on May 2014. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1053721431
- Provider Name
- MICHAEL THOMAS VENEZIA LPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4800 WHITESPORT CIR SW SUITE 2 HUNTSVILLE, AL 35801
- Location Phone
- (256) 533-9393
- Location Fax
- (256) 533-9690
- Mailing Address
- 4800 WHITESPORT CIR SW SUITE 2 HUNTSVILLE, AL 35801
- Mailing Phone
- (256) 533-9393
- Mailing Fax
- (256) 533-9690
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-06-2014
- Last Update Date
- 01-03-2017
- Code Navigator
A mental health counselor like Michael Venezia 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. Michael Venezia 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
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
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Saver Silver EPO - EPO
- Blue Standardized Silver EPO - EPO
- Blue Standardized Statewide Silver EPO - EPO
- Blue Statewide Silver EPO - EPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Simple Chronic Care CKM - EPO
- Gold Classic Standard - EPO
- Gold Simple - EPO
- Silver Classic Standard - EPO
- Silver Simple - EPO
- Silver Simple Chronic Care CKM - EPO
*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 MICHAEL THOMAS VENEZIA 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 1053721431, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
HUNTSVILLE, AL 35801
HUNTSVILLE, AL 35801
HUNTSVILLE, AL 35801
HUNTSVILLE, AL 35801
HUNTSVILLE, AL 35801
HUNTSVILLE, AL 35801
HUNTSVILLE, AL 35801
HUNTSVILLE, AL 35801
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053721431, enumerated as an "individual" on May 06, 2014.
The provider is located at 4800 WHITESPORT CIR SW SUITE 2 HUNTSVILLE, AL 35801 and the phone number is (256) 533-9393.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama and Oscar. Please consult your insurance carrier or call the provider to verify.
