ALICIA DIANE DOOLIN LMHC, LCAC
NPI 1245768522
Counselor - Mental Health in Dyer, IN

NPI Status: Active since May 31, 2017

Contact Information

24 JOLIET ST
DYER, IN
ZIP 46311
Phone: (219) 322-5747
Fax: (219) 864-2282

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  • Individual
  • Female
  • Years of Experience 35
  • Counselor
  • Mental Health
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ALICIA DOOLIN

This page provides the complete NPI Profile along with additional information for Alicia Doolin, a provider established in Dyer, Indiana with a medical specialization in Counselor, focusing in mental health and more than 35 years of experience. The healthcare provider is registered in the NPI registry with number 1245768522 assigned on May 2017. The practitioner's primary taxonomy code is 101YM0800X with license number 39000972A (IN). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1245768522
Provider Name
ALICIA DIANE DOOLIN LMHC, LCAC
Gender
Female
Entity Type
Individual
Location Address
24 JOLIET ST DYER, IN 46311
Location Phone
(219) 322-5747
Location Fax
(219) 864-2282
Mailing Address
PO BOX 781076 DETROIT, MI 48278
Mailing Phone
(317) 528-4800
Mailing Fax
(219) 864-2282
Medical School Name
OTHER
Graduation Year
1991
Is Sole Proprietor?
No
Enumeration Date
05-31-2017
Last Update Date
03-05-2024
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A mental health counselor like Alicia Doolin provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
39000972A
License State
IN

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
  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - 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
87000264AOTHER (01)INSTATE LICENSING BOARD
300007506MEDICAID (05)IN 
39000972AOTHER (01)INSTATE LICENSING BOARD

Medicare Participation & PECOS Enrollment Status

Alicia Doolin 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.

Alicia Doolin 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: 3072964873

    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: I20240105001699

    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

Reviews for ALICIA DIANE DOOLIN LMHC, LCAC

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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 1245768522, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 8 + 5 + 1 + 4 + 6 + 1 + 6 + 5 + 4 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1245768522.

Other Providers at the Same Location


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

Surgery
24 JOLIET ST, STE101
DYER, IN 46311
Emergency Medicine
24 JOLIET ST
DYER, IN 46311
Social Worker (Clinical)
24 JOLIET ST
DYER, IN 46311
Nurse Practitioner
24 JOLIET ST, SUITE 401
DYER, IN 46311
Surgery
24 JOLIET ST, UNIT 302
DYER, IN 46311
Psychiatry & Neurology (Psychiatry)
24 JOLIET ST
DYER, IN 46311
Internal Medicine
24 JOLIET ST
DYER, IN 46311
Surgery
24 JOLIET ST, STE 101
DYER, IN 46311
Social Worker (Clinical)
24 JOLIET ST
DYER, IN 46311
Anesthesiology
24 JOLIET ST
DYER, IN 46311
Marriage & Family Therapist
24 JOLIET ST
DYER, IN 46311
Psychiatry & Neurology (Psychiatry)
24 JOLIET ST
DYER, IN 46311
Marriage & Family Therapist
24 JOLIET ST
DYER, IN 46311
Clinic/Center
24 JOLIET ST, SUITE 302
DYER, IN 46311
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
24 JOLIET ST, SUITE 101
DYER, IN 46311
Obstetrics & Gynecology (Gynecologic Oncology)
24 JOLIET ST
DYER, IN 46311
Emergency Medicine
24 JOLIET ST
DYER, IN 46311
Psychologist (Clinical)
24 JOLIET ST
DYER, IN 46311
Psychologist (Clinical)
24 JOLIET ST
DYER, IN 46311
Dietitian, Registered
24 JOLIET ST
DYER, IN 46311

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245768522, enumerated as an "individual" on May 31, 2017.

The provider is located at 24 JOLIET ST DYER, IN 46311 and the phone number is (219) 322-5747.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: CareSource, Providence Health Plan, Medicare and. Please consult your insurance carrier or call the provider to verify.