RACHEL FORMALE
NPI 1093272189
Counselor in Carmel, NY
- Individual
- Female
- Counselor
- Opted-Out Medicare
About RACHEL FORMALE
This page provides the complete NPI Profile along with additional information for Rachel Formale, a provider established in Carmel, New York with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1093272189 assigned on February 2019. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1093272189 Verify this NPI
- Provider Name
- RACHEL FORMALE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1808 ROUTE 6 CARMEL, NY 10512
- Location Phone
- (845) 225-2700
- Mailing Address
- 1808 ROUTE 6 CARMEL, NY 10512
- Mailing Phone
- (845) 225-2700
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-25-2019
- Last Update Date
- 02-25-2019
- Code Navigator
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. Rachel Formale opted out of Medicare effective on 09-10-2024 until 09-10-2026. 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
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 02995857 | MEDICAID (05) | NY | |
| W1L271 | OTHER (01) | NY | MEDICARE |
| 1497737167 | OTHER (01) | NY | AGENCY NPI |
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: 09-10-2024
Opt-Out End Date: 09-10-2026
Eligible to Order and Refer? No
Reviews for RACHEL FORMALE
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CARMEL, NY 10512
CARMEL, NY 10512
CARMEL, NY 10512
CARMEL, NY 10512
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093272189, enumerated as an "individual" on February 25, 2019.
The provider is located at 1808 ROUTE 6 CARMEL, NY 10512 and the phone number is (845) 225-2700.
Counselor with taxonomy code 101Y00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.