DORALIS CORIANO ORTIZ LCPC
NPI 1134675093
Counselor - Professional in Chicago, IL

NPI Status: Active since August 31, 2016

Contact Information

1300 W BELMONT AVE STE 300
CHICAGO, IL
ZIP 60657
Phone: (773) 880-1310

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Counselor
Professional
Opted-Out Medicare

About DORALIS CORIANO ORTIZ

This page provides the complete NPI Profile along with additional information for Doralis Coriano Ortiz, a provider established in Chicago, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1134675093 assigned on August 2016. The practitioner's primary taxonomy code is 101YP2500X with license number 180.013997 (IL). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI: 1134675093
Provider Name: DORALIS CORIANO ORTIZ LCPC
Gender: Female
Entity Type: Individual
Location Address: 1300 W BELMONT AVE STE 300 CHICAGO, IL 60657
Location Phone: (773) 880-1310
Mailing Address: 661 W LAKE ST STE 2S CHICAGO, IL 60661
Mailing Phone: (773) 389-4747
Is Sole Proprietor?: Yes
Enumeration Date: 08-31-2016
Last Update Date: 07-27-2022
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. Doralis Coriano Ortiz 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

Secondary Locations

1127 N Oakley Blvd 3rd Floor
Chicago, IL 60622
(312) 770-2317
661 W Lake St Ste 2S
Chicago, IL 60661
(773) 389-4747

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.: 180.013997
License State: IL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	390200000X	Student, Health Care	Student in an Organized Health Care Education/Training Program

Insurance Plans Accepted

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

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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
362235165	MEDICAID (05)	IL

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

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.
1	1	3	4	6	7	5	0	9	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	6	4	12	7	10	0	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 2 + 7 + 1 + 0 + 0 + 1 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 3									3

The NPI number 1134675093 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.