MRS. MELODY JOY RICHARDS MA, LPC
NPI 1104121151
Counselor in Plymouth, MN

NPI Status: Active since January 24, 2011

Contact Information

13210 45TH AVE NORTH
PLYMOUTH, MN
ZIP 55442
Phone: (612) 616-0224
Fax: (612) 616-0224

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  • Individual
  • Female
  • Counselor
  • Opted-Out Medicare

About MELODY RICHARDS

This page provides the complete NPI Profile along with additional information for Melody Richards, a provider established in Plymouth, Minnesota with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1104121151 assigned on January 2011. The practitioner's primary taxonomy code is 101Y00000X with license number LPC00958 (MN). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1104121151
Provider Name
MRS. MELODY JOY RICHARDS MA, LPC
Gender
Female
Entity Type
Individual
Location Address
13210 45TH AVE NORTH PLYMOUTH, MN 55442
Location Phone
(612) 616-0224
Location Fax
(612) 616-0224
Mailing Address
13210 45TH AVE NORTH PLYMOUTH, MN 55442
Mailing Phone
(612) 616-0224
Mailing Fax
(612) 616-0224
Is Sole Proprietor?
Yes
Enumeration Date
01-24-2011
Last Update Date
01-24-2011
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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. Melody Richards opted out of Medicare effective on 02-26-2024 until 02-26-2026. 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.

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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

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
License No.
LPC00958
License State
MN
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.

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: 02-26-2024

  • Opt-Out End Date: 02-26-2026

  • Eligible to Order and Refer? No

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104121151
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104222110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 2 + 2 + 2 + 1 + 1 + 0 + 24 = 39
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 39 = 11

The NPI number 1104121151 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104121151, enumerated as an "individual" on January 24, 2011.

The provider is located at 13210 45TH AVE NORTH PLYMOUTH, MN 55442 and the phone number is (612) 616-0224.

Counselor with taxonomy code 101Y00000X.