SYDNEY WAGNER MSW
NPI 1205308574
Counselor in South Bend, IN

NPI Status: Active since December 26, 2018

Contact Information

415 E MADISON ST
SOUTH BEND, IN
ZIP 46617
Phone: (574) 533-1234
Fax: (574) 537-2652

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  • Individual
  • Female
  • Counselor
  • Accepts Insurance
  • PECOS Enrolled

About SYDNEY WAGNER

This page provides the complete NPI Profile along with additional information for Sydney Wagner, a provider established in South Bend, Indiana with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1205308574 assigned on December 2018. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1205308574
Provider Name
SYDNEY WAGNER MSW
Gender
Female
Entity Type
Individual
Location Address
415 E MADISON ST SOUTH BEND, IN 46617
Location Phone
(574) 533-1234
Location Fax
(574) 537-2652
Mailing Address
330 LAKEVIEW DR GOSHEN, IN 46528
Mailing Phone
(574) 533-1234
Mailing Fax
(574) 537-2652
Is Sole Proprietor?
No
Enumeration Date
12-26-2018
Last Update Date
12-26-2018
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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

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Insurance Plans Accepted

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

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Sydney Wagner 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

Reviews for SYDNEY WAGNER MSW

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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 1205308574, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
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 0 → 0 3 → 6 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 6 + 0 + 1 + 6 + 5 + 1 + 4 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1205308574.

Other Providers at the Same Location


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

Social Worker
415 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
415 E MADISON ST
SOUTH BEND, IN 46617
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
Social Worker
415 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
415 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
415 E MADISON ST
SOUTH BEND, IN 46617
Social Worker
415 E MADISON ST
SOUTH BEND, IN 46617
Psychiatry & Neurology (Psychiatry)
415 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
415 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
415 E MADISON ST
SOUTH BEND, IN 46617
Social Worker
415 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
415 E MADISON ST
SOUTH BEND, IN 46617
Psychiatry & Neurology (Psychiatry)
415 E MADISON ST
SOUTH BEND, IN 46617
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
Psychiatry & Neurology (Psychiatry)
415 E MADISON ST
SOUTH BEND, IN 46617
Counselor (Mental Health)
415 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
415 E MADISON ST
SOUTH BEND, IN 46617
Counselor (Addiction (Substance Use Disorder))
415 E MADISON ST
SOUTH BEND, IN 46617
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205308574, enumerated as an "individual" on December 26, 2018.

The provider is located at 415 E MADISON ST SOUTH BEND, IN 46617 and the phone number is (574) 533-1234.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.