FLORANCE R O'NEAL L.C.P.C.
NPI 1164586376
Counselor - Mental Health in Kalispell, MT

NPI Status: Active since December 21, 2006

Contact Information

725 6TH AVE E
SUITE 7
KALISPELL, MT
ZIP 59901
Phone: (406) 257-0604

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Accepts Insurance
  • Opted-Out Medicare

About FLORANCE O'NEAL

This page provides the complete NPI Profile along with additional information for Florance O'neal, a provider established in Kalispell, Montana with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1164586376 assigned on December 2006. The practitioner's primary taxonomy code is 101YM0800X with license number 843 (MT). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1164586376
Provider Name
FLORANCE R O'NEAL L.C.P.C.
Gender
Female
Entity Type
Individual
Location Address
725 6TH AVE E SUITE 7 KALISPELL, MT 59901
Location Phone
(406) 257-0604
Mailing Address
725 6TH AVE E SUITE 7 KALISPELL, MT 59901
Mailing Phone
(406) 257-0604
Is Sole Proprietor?
Yes
Enumeration Date
12-21-2006
Last Update Date
07-08-2007
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A mental health counselor like Florance O'neal 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. Florance O'neal opted out of Medicare effective on 10-07-2024 until 10-07-2026. 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
License No.
843
License State
MT

Insurance Plans Accepted

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

  • Blue Preferred Bronze PPO? 201 - PPO
  • Blue Preferred Bronze PPO? 202 - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? 204 - PPO
  • Blue Preferred Gold PPO? 901 - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? 203 - PPO
  • Blue Preferred Silver PPO? 308 - PPO
  • Blue Preferred Silver PPO? Standard - PPO
  • Peak PPO Bronze HDHP - PPO
  • Peak PPO Bronze Standard - PPO
  • Peak PPO Catastrophic - PPO
  • Peak PPO Gold - PPO
  • Peak PPO Gold Standard - PPO
  • Peak PPO Silver - PPO
  • Peak PPO Silver Standard - PPO
  • Plus Bronze - PPO
  • Plus Bronze Standard - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • PEAK PPO BRONZE - PPO
  • PEAK PPO BRONZE HDHP - PPO
  • PEAK PPO GOLD - PPO
  • PEAK PPO GOLD HDHP - PPO
  • PEAK PPO SILVER - PPO
  • PEAK PPO SILVER HDHP - PPO
  • Plus Bronze HDHP - PPO
  • Plus Gold HDHP - PPO
  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - 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: 10-07-2024

  • Opt-Out End Date: 10-07-2026

  • Eligible to Order and Refer? No

Reviews for FLORANCE R O'NEAL L.C.P.C.

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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 1164586376, 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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 6 → 12 → 3 5 → 10 → 1 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 1 + 0 + 8 + 1 + 2 + 3 + 1 + 4 + 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 1164586376.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Naturopath
725 6TH AVE E, #15
KALISPELL, MT 59901
Physical Therapist
725 6TH AVE E
KALISPELL, MT 59901
Chiropractor
725 6TH AVE E
KALISPELL, MT 59901
Counselor (Mental Health)
725 6TH AVE E
KALISPELL, MT 59901
Social Worker (Clinical)
725 6TH AVE E, SUITE 12
KALISPELL, MT 59901
Naturopath
725 6TH AVE E, #3
KALISPELL, MT 59901
Counselor (Professional)
725 6TH AVE E
KALISPELL, MT 59901
Massage Therapist
725 6TH AVE E
KALISPELL, MT 59901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164586376, enumerated as an "individual" on December 21, 2006.

The provider is located at 725 6TH AVE E SUITE 7 KALISPELL, MT 59901 and the phone number is (406) 257-0604.

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

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Mountain. Please consult your insurance carrier or call the provider to verify.