ERICA NEGRON M.S, LPC
NPI 1174320626
Counselor - Professional in Pottstown, PA

NPI Status: Active since March 03, 2025

Contact Information

73 PAINTERS WAY
POTTSTOWN, PA
ZIP 19465
Phone: (610) 570-1389

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  • Individual
  • Female
  • Counselor
  • Professional
  • PECOS Enrolled

About ERICA NEGRON

This page provides the complete NPI Profile along with additional information for Erica Negron, a provider established in Pottstown, Pennsylvania with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1174320626 assigned on March 2025. The practitioner's primary taxonomy code is 101YP2500X with license number PC018245 (PA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1174320626
Provider Name
ERICA NEGRON M.S, LPC
Gender
Female
Entity Type
Individual
Location Address
73 PAINTERS WAY POTTSTOWN, PA 19465
Location Phone
(610) 570-1389
Mailing Address
73 PAINTERS WAY POTTSTOWN, PA 19465
Mailing Phone
(610) 570-1389
Is Sole Proprietor?
Yes
Enumeration Date
03-03-2025
Last Update Date
03-03-2025
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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 Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
PC018245
License State
PA

Medicare Participation & PECOS Enrollment Status

Erica Negron 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

  • 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 1174320626, 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
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
2
Doubled → 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 7 → 14 → 5 3 → 6 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 4 + 4 + 6 + 2 + 0 + 6 + 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 1174320626.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174320626, enumerated as an "individual" on March 03, 2025.

The provider is located at 73 PAINTERS WAY POTTSTOWN, PA 19465 and the phone number is (610) 570-1389.

Counselor with taxonomy code 101YP2500X and a focus in Professional.