LINSIE GILMAN LCPC
NPI 1235715392
Counselor - Professional in Barrington, IL
NPI Status: Active since March 19, 2021
Contact Information
111 LIONS DR STE 201
BARRINGTON, IL
ZIP 60010
Phone: (224) 655-2655
- Individual
- Female
- Years of Experience 18
- Counselor
- Professional
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About LINSIE GILMAN
This page provides the complete NPI Profile along with additional information for Linsie Gilman, a provider established in Barrington, Illinois with a medical specialization in Counselor, focusing in professional and more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1235715392 assigned on March 2021. The practitioner's primary taxonomy code is 101YP2500X with license number 180013388 (IL). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1235715392
- Provider Name
- LINSIE GILMAN LCPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 111 LIONS DR STE 201 BARRINGTON, IL 60010
- Location Phone
- (224) 655-2655
- Mailing Address
- 111 LIONS DR STE 201 BARRINGTON, IL 60010
- Mailing Phone
- (224) 655-2655
- Medical School Name
- OTHER
- Graduation Year
- 2008
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-19-2021
- Last Update Date
- 09-28-2022
- Code Navigator
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 Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 180013388
- License State
- IL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Connect Bronze 2000 Indiv Med Deductible - HMO
- Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - Rx Copay - HMO
- Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
- Connect Silver CMS Standard - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, 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 (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus (No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Standard+ (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
Linsie Gilman 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.
Linsie Gilman 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: 1153852256
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: I20240930003932
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
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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 | 3 | 5 | 7 | 1 | 5 | 3 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 14 | 1 | 10 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 4 + 1 + 1 + 0 + 3 + 1 + 8 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1235715392 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
MS. LAVETTA M. MITCHELL
Counselor
(Professional)
111 LIONS DR STE 201
BARRINGTON, IL
ZIP 60010
MS. CATHERINE ANN NESS LCPC
Counselor
(Professional)
111 LIONS DR STE 201
BARRINGTON, IL
ZIP 60010
AFFECTIVE COUNSELING INC
Counselor
(Professional)
111 LIONS DR STE 201
BARRINGTON, IL
ZIP 60010
MRS. CHERI SPICZKA LCPC, LPC, MA
Counselor
111 LIONS DR STE 201
BARRINGTON, IL
ZIP 60010
KAVITA C. BOSAMIYA
Counselor
(Mental Health)
111 LIONS DR STE 201
BARRINGTON, IL
ZIP 60010
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235715392, enumerated as an "individual" on March 19, 2021.
The provider is located at 111 LIONS DR STE 201 BARRINGTON, IL 60010 and the phone number is (224) 655-2655.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to verify.
