MARY ANN ABEL LCSW
NPI 1255664157
Counselor - Mental Health in Baton Rouge, LA
NPI Status: Active since September 09, 2009
Contact Information
4919 JAMESTOWN AVE
SUITE 101
BATON ROUGE, LA
ZIP 70808
Phone: (225) 924-6621
Fax: (225) 924-6627
- Individual
- Female
- Counselor
- Mental Health
- Accepts Insurance
- PECOS Enrolled
About MARY ABEL
This page provides the complete NPI Profile along with additional information for Mary Abel, a provider established in Baton Rouge, Louisiana with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1255664157 assigned on September 2009. The practitioner's primary taxonomy code is 101YM0800X with license number 5154 (LA). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1255664157
- Provider Name
- MARY ANN ABEL LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4919 JAMESTOWN AVE SUITE 101 BATON ROUGE, LA 70808
- Location Phone
- (225) 924-6621
- Location Fax
- (225) 924-6627
- Mailing Address
- 436 NASSAU DR BATON ROUGE, LA 70815
- Mailing Phone
- (225) 324-6561
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-09-2009
- Last Update Date
- 09-09-2009
- Code Navigator
A mental health counselor like Mary Abel 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.
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 Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 5154
- License State
- LA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- Blue POS 60/40 $6500 - POS
- Blue POS 70/50 $4550 - POS
- Blue POS 80/60 $3200 - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - EPO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Advantage ($5 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Silver Standard - EPO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Mary Abel 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
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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Psychiatric diagnostic evaluation
Psychotherapy, 1 hour
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
This service was performed 15 times for 14 patientsPsychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
This service was performed 285 times for 20 patientsReviews for MARY ANN ABEL LCSW
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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 | 5 | 5 | 6 | 6 | 4 | 1 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 12 | 6 | 8 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 2 + 6 + 8 + 1 + 1 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1255664157 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 8 providers are registered at the same or nearby location.
PEGGY BROUSSARD LPC
Counselor
(Mental Health)
4919 JAMESTOWN AVE
SUITE 102
BATON ROUGE, LA
ZIP 70808
RAMON ROBERTO LOPEZ LPC
Counselor
(Professional)
4919 JAMESTOWN AVE
SUITE 101
BATON ROUGE, LA
ZIP 70808
DANA C BOOTH LCSW
Counselor
(Mental Health)
4919 JAMESTOWN AVE
SUITE 101
BATON ROUGE, LA
ZIP 70808
GRETCHEN SCHNEIDER BURTON LPC
Counselor
(Mental Health)
4919 JAMESTOWN AVE
SUITE 201-E
BATON ROUGE, LA
ZIP 70808
DR. PATRICIA A. TOUPS MD
Psychiatry & Neurology
(Psychiatry)
4919 JAMESTOWN AVE
STE 101
BATON ROUGE, LA
ZIP 70808
CONNECTING CONCEPTUAL CONSTRUCTS, INC
Early Intervention Provider Agency
4919 JAMESTOWN AVE
SUITE 104
BATON ROUGE, LA
ZIP 70808
GRIEF RECOVERY CENTER
Social Worker
(Clinical)
4919 JAMESTOWN AVE
SUITE 102
BATON ROUGE, LA
ZIP 70808
CARE ONE HEALTH LLC
Community/Behavioral Health
4919 JAMESTOWN AVE
SUITE 201B
BATON ROUGE, LA
ZIP 70808
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255664157, enumerated as an "individual" on September 09, 2009.
The provider is located at 4919 JAMESTOWN AVE SUITE 101 BATON ROUGE, LA 70808 and the phone number is (225) 924-6621.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to verify.
