MR. KYLE ERIC HINTON SR. MA, CAAC
NPI 1225263387
Counselor - Addiction (Substance Use Disorder) in Kentwood, MI
NPI Status: Active since May 19, 2009
Contact Information
4475 SPRINGMONT DR SE
KENTWOOD, MI
ZIP 49512
Phone: (616) 540-6393
- Individual
- Male
- Years of Experience 18
- Counselor
- Addiction (Substance Use Disorder)
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About KYLE HINTON
This page provides the complete NPI Profile along with additional information for Kyle Hinton, a provider established in Kentwood, Michigan with a medical specialization in Counselor, focusing in addiction (substance use disorder) and more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1225263387 assigned on May 2009. The practitioner's primary taxonomy code is 101YA0400X. The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1225263387
- Provider Name
- MR. KYLE ERIC HINTON SR. MA, CAAC
- Other Name Type
- Professional Name (2)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4475 SPRINGMONT DR SE KENTWOOD, MI 49512
- Location Phone
- (616) 540-6393
- Mailing Address
- 4475 SPRINGMONT KENTWOOD, MI 49512
- Mailing Phone
- (616) 540-6393
- Medical School Name
- OTHER
- Graduation Year
- 2008
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-19-2009
- Last Update Date
- 05-19-2009
- Code Navigator
A Substance Abuse or Addiction Counselor like Kyle Hinton 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
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple PCP Saver - EPO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (No Referrals) - HMO
- UHC Bronze Value+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage (No Referrals) - HMO
- UHC Silver Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value (No Referrals) - HMO
- UHC Silver Value+ (Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kyle Hinton is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Kyle Hinton 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
PECOS PAC ID: 42731440
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250228003234
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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 MR. KYLE ERIC HINTON SR. MA, CAAC
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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 | 2 | 6 | 3 | 3 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 4 | 6 | 6 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 4 + 6 + 6 + 3 + 1 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1225263387 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
HINTON COUNSELING LLC
Marriage & Family Therapist
4475 SPRINGMONT DR SE
KENTWOOD, MI
ZIP 49512
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225263387, enumerated as an "individual" on May 19, 2009.
The provider is located at 4475 SPRINGMONT DR SE KENTWOOD, MI 49512 and the phone number is (616) 540-6393.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
The provider might be accepting Accepts: McLaren Health Plan Community, Oscar Insurance. Please consult your insurance carrier or call the provider to verify.
