MS. JEAN MARIE PRUSCHA CSAC, ICS
NPI 1225168891
Counselor - Addiction (Substance Use Disorder) in Racine, WI
NPI Status: Active since March 06, 2007
Contact Information
840 LAKE AVE
SUITE 101
RACINE, WI
ZIP 53403
Phone: (262) 634-8688
Fax: (262) 634-7547
- Individual
- Female
- Counselor
- Addiction (Substance Use Disorder)
- Accepts Insurance
About JEAN PRUSCHA
This page provides the complete NPI Profile along with additional information for Jean Pruscha, a provider established in Racine, Wisconsin with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1225168891 assigned on March 2007. The practitioner's primary taxonomy code is 101YA0400X with license number 11083-132 (WI). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1225168891
- Provider Name
- MS. JEAN MARIE PRUSCHA CSAC, ICS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 840 LAKE AVE SUITE 101 RACINE, WI 53403
- Location Phone
- (262) 634-8688
- Location Fax
- (262) 634-7547
- Mailing Address
- N3157 WILLIAMS ST LAKE GENEVA, WI 53147
- Mailing Phone
- (262) 249-0382
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-06-2007
- Last Update Date
- 07-09-2007
- Code Navigator
A Substance Abuse or Addiction Counselor like Jean Pruscha advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
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 Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 11083-132
- License State
- WI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Chorus Bronze Complete - EPO
- Chorus Bronze HDHP - EPO
- Chorus Catastrophic - EPO
- Chorus Core Bronze - EPO
- Chorus Core Gold - EPO
- Chorus Core Silver - EPO
- Chorus Elite Gold - EPO
- Chorus Gold - EPO
- Chorus Silver - EPO
- Chorus Silver Select - EPO
- Better Together HMO Bronze 6500 Ded/8000 MOOP - HMO
- Better Together HMO Bronze 7500 Ded/9200 MOOP - HMO
- Better Together HMO Bronze No Medical Ded/9200 MOOP - HMO
- Better Together HMO Gold 1000 Ded/6000 MOOP with Vision - HMO
- Better Together HMO Gold 1500 Ded/7800 MOOP - HMO
- Better Together HMO Gold 2900 Ded/2900 MOOP HSA - HMO
- Better Together HMO Platinum 500 Ded/1500 MOOP with Vision - HMO
- Better Together HMO Platinum No Ded/2800 MOOP - HMO
- Better Together HMO Platinum No Ded/4300 MOOP - HMO
- Better Together HMO Silver 4100 Ded/7500 MOOP with Vision - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,100 HDHP - HMO
- Premier $5,000 - 40% - HMO
- Premier $6,200 HDHP - HMO
- Premier $7,500 - HMO
- Premier $9,200 - HMO
- Premier Protection - HMO
- Premier HMO $1,500 - 30% - HMO
- Premier HMO $2,500 - 20% Copay - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39389200 | MEDICAID (05) | WI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 2 | 5 | 1 | 6 | 8 | 8 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 2 | 6 | 16 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 2 + 6 + 1 + 6 + 8 + 1 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1225168891 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
RACINE PSYCHOLOGICAL SERVICES, INC.
Clinic/Center
(Adult Mental Health)
840 LAKE AVE
SUITE 101
RACINE, WI
ZIP 53403
MARY JANE WHITMORE LCSW, CADCIII
Social Worker
(Clinical)
840 LAKE AVE
SUITE 101
RACINE, WI
ZIP 53403
MARIAH HEWITT PSYD
Psychologist
(Clinical)
840 LAKE AVE
STE 101
RACINE, WI
ZIP 53403
D MARTIN HAYDEN PH.D.
Psychologist
(Clinical)
840 LAKE AVE
RACINE
RACINE, WI
ZIP 53403
REGINA MARLENE HADLEY CSAC
Counselor
(Addiction (Substance Use Disorder))
840 LAKE AVE
101
RACINE, WI
ZIP 53403
SAMMY JOE RANGEL CSAC
Counselor
(Addiction (Substance Use Disorder))
840 LAKE AVE
101
RACINE, WI
ZIP 53403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225168891, enumerated as an "individual" on March 06, 2007.
The provider is located at 840 LAKE AVE SUITE 101 RACINE, WI 53403 and the phone number is (262) 634-8688.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
The provider might be accepting Accepts: Chorus Community Health Plans, Group Health. Please consult your insurance carrier or call the provider to verify.
