AVALON NOEL TAYLOR DERLACKI PRENTISS LPC
NPI 1174196299
Counselor - Mental Health in Boise, ID
NPI Status: Active since July 19, 2021
Contact Information
1015 W HAYS ST STE 102
BOISE, ID
ZIP 83702
Phone: (208) 207-8889
- Individual
- Female
- Counselor
- Mental Health
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About AVALON DERLACKI PRENTISS
This page provides the complete NPI Profile along with additional information for Avalon Derlacki Prentiss, a provider established in Boise, Idaho with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1174196299 assigned on July 2021. The practitioner's primary taxonomy code is 101YM0800X with license number 8188 (ID). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1174196299
- Provider Name
- AVALON NOEL TAYLOR DERLACKI PRENTISS LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1015 W HAYS ST STE 102 BOISE, ID 83702
- Location Phone
- (208) 207-8889
- Mailing Address
- 1015 W HAYS ST STE 102 BOISE, ID 83702
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-19-2021
- Last Update Date
- 11-19-2024
- Code Navigator
A mental health counselor like Avalon Derlacki Prentiss 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. Avalon Derlacki Prentiss 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
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.
- 8188
- License State
- ID
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Avalon Derlacki Prentiss 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
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
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 1174196299, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
BOISE, ID 83702
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174196299, enumerated as an "individual" on July 19, 2021.
The provider is located at 1015 W HAYS ST STE 102 BOISE, ID 83702 and the phone number is (208) 207-8889.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Select Health. Please consult your insurance carrier or call the provider to verify.
