ELLEN JANE FRESHMAN
NPI 1154602936
Counselor - Mental Health in Worcester, MA

NPI Status: Active since September 07, 2011

Contact Information

255 PARK AVE
WORCESTER, MA
ZIP 01609
Phone: (508) 799-0688

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  • Individual
  • Female
  • Years of Experience 49
  • Counselor
  • Mental Health
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ELLEN FRESHMAN

This page provides the complete NPI Profile along with additional information for Ellen Freshman, a provider established in Worcester, Massachusetts with a medical specialization in Counselor, focusing in mental health and more than 49 years of experience. The healthcare provider is registered in the NPI registry with number 1154602936 assigned on September 2011. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1154602936
Provider Name
ELLEN JANE FRESHMAN
Gender
Female
Entity Type
Individual
Location Address
255 PARK AVE WORCESTER, MA 01609
Location Phone
(508) 799-0688
Mailing Address
255 PARK AVE WORCESTER, MA 01609
Mailing Phone
(508) 799-0688
Medical School Name
OTHER
Graduation Year
1978
Is Sole Proprietor?
Yes
Enumeration Date
09-07-2011
Last Update Date
09-07-2011
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A mental health counselor like Ellen Freshman 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.

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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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Medicare Participation & PECOS Enrollment Status

Ellen Freshman 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.

Ellen Freshman 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: 5496669525

    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: I20240118004424

    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

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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 1154602936, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
6
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 5 → 10 → 1 6 → 12 → 3 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 2 + 0 + 4 + 9 + 6 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1154602936.

Other Providers at the Same Location


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

Dentist (General Practice)
255 PARK AVE, STE 800
WORCESTER, MA 01609
Dentist (Endodontics)
255 PARK AVE, SUITE 1020
WORCESTER, MA 01609
Internal Medicine
255 PARK AVE, SUITE 400
WORCESTER, MA 01609
Dentist (Periodontics)
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Nurse Practitioner
255 PARK AVE, SUITE 400
WORCESTER, MA 01609
Dentist (General Practice)
255 PARK AVE, SUITE 509
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Podiatrist
255 PARK AVE, SUITE 803
WORCESTER, MA 01609
Dentist (Periodontics)
255 PARK AVE, SUITE 1103
WORCESTER, MA 01609
Internal Medicine
255 PARK AVE, SUITE 210
WORCESTER, MA 01609
Social Worker (Clinical)
255 PARK AVE, SUITE 300
WORCESTER, MA 01609
Social Worker (Clinical)
255 PARK AVE
WORCESTER, MA 01609
Physical Therapist
255 PARK AVE, SUITE 400
WORCESTER, MA 01609
Dentist (General Practice)
255 PARK AVE, SUITE 804
WORCESTER, MA 01609
Dentist (General Practice)
255 PARK AVE, SUITE 904
WORCESTER, MA 01609
Podiatrist (Foot Surgery)
255 PARK AVE, SUITE 803
WORCESTER, MA 01609
Social Worker (Clinical)
255 PARK AVE, SUITE 803
WORCESTER, MA 01609
Physical Therapy Assistant
255 PARK AVE, SUITE 400
WORCESTER, MA 01609
Physical Therapist
255 PARK AVE, SUITE 400
WORCESTER, MA 01609
Social Worker (Clinical)
255 PARK AVE, SUITE 300
WORCESTER, MA 01609
Social Worker (Clinical)
255 PARK AVE, SUITE 300
WORCESTER, MA 01609

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154602936, enumerated as an "individual" on September 07, 2011.

The provider is located at 255 PARK AVE WORCESTER, MA 01609 and the phone number is (508) 799-0688.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.