LINDSAY BRUMMELL LPC
NPI 1235773565
Counselor - Professional in Carthage, IL

NPI Status: Active since October 30, 2019

Contact Information

1450 N COUNTY ROAD 2050 E
CARTHAGE, IL
ZIP 62321
Phone: (217) 357-6888
Fax: (217) 214-5450

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  • Individual
  • Female
  • Years of Experience 7
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About LINDSAY BRUMMELL

This page provides the complete NPI Profile along with additional information for Lindsay Brummell, a provider established in Carthage, Illinois with a medical specialization in Counselor, focusing in professional and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1235773565 assigned on October 2019. The practitioner's primary taxonomy code is 101YP2500X with license number 180.015383 (IL). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1235773565
Provider Name
LINDSAY BRUMMELL LPC
Other Name
LINDSAY SCHAFFER LPC
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1450 N COUNTY ROAD 2050 E CARTHAGE, IL 62321
Location Phone
(217) 357-6888
Location Fax
(217) 214-5450
Mailing Address
1450 N COUNTY ROAD 2050 E CARTHAGE, IL 62321
Mailing Phone
(636) 224-1210
Mailing Fax
(217) 214-5450
Medical School Name
OTHER
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
10-30-2019
Last Update Date
01-10-2024
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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.
180.015383
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:

  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Essential (No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Standard (No Referrals) - EPO
  • UHC Silver Standard+ (Dental + Vision, No Referrals) - EPO

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
178.015326OTHER (01)ILIL LPC LICENSE
180.015383OTHER (01)ILIL LCPC LICENSE

Medicare Participation & PECOS Enrollment Status

Lindsay Brummell is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Lindsay Brummell 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: 6305209842

    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: I20240111004229

    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? Yes

    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 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 1235773565, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
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 3 → 6 7 → 14 → 5 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 6 + 5 + 1 + 4 + 7 + 6 + 5 + 1 + 2 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1235773565.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Counselor (Mental Health)
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Family Medicine
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Physician Assistant
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Durable Medical Equipment & Medical Supplies
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Health and Wellness Coach
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Social Worker
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Clinic/Center (Rehabilitation, Substance Use Disorder)
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Nurse Practitioner (Psychiatric/Mental Health)
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Social Worker (Clinical)
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Counselor (Professional)
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Nurse Practitioner (Family)
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Counselor (Addiction (Substance Use Disorder))
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Nurse Practitioner (Psychiatric/Mental Health)
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235773565, enumerated as an "individual" on October 30, 2019.

The provider is located at 1450 N COUNTY ROAD 2050 E CARTHAGE, IL 62321 and the phone number is (217) 357-6888.

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

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.