ELIZABETH S. CUMMINGS
NPI 1275734667
Counselor - Addiction (Substance Use Disorder) in Oshkosh, WI

NPI Status: Active since May 31, 2007

Contact Information

515 S WASHBURN ST STE 104
OSHKOSH, WI
ZIP 54904
Phone: (920) 236-8570

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  • Individual
  • Female
  • Counselor
  • Addiction (Substance Use Disorder)
  • Accepts Insurance

About ELIZABETH CUMMINGS

This page provides the complete NPI Profile along with additional information for Elizabeth Cummings, a provider established in Oshkosh, Wisconsin with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1275734667 assigned on May 2007. The practitioner's primary taxonomy code is 101YA0400X with license number 1864-132 (WI). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1275734667
Provider Name
ELIZABETH S. CUMMINGS
Other Name
DEDE CUMMINGS
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
515 S WASHBURN ST STE 104 OSHKOSH, WI 54904
Location Phone
(920) 236-8570
Mailing Address
515 S WASHBURN ST STE 104 OSHKOSH, WI 54904
Mailing Phone
(920) 236-8570
Is Sole Proprietor?
No
Enumeration Date
05-31-2007
Last Update Date
07-08-2007
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A Substance Abuse or Addiction Counselor like Elizabeth Cummings 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
License No.
1864-132
License State
WI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Prestige Bronze $0 Medical Deductible - HMO
  • Prestige Bronze $0 Medical Deductible + Dental + Vision - HMO
  • Prestige Bronze $0 Medical Deductible + Dental +Vision - HMO
  • Prestige Bronze Essential + 3 Free PCP Visits - HMO
  • Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Prestige Bronze Plus - HMO
  • Prestige Gold - HMO
  • Prestige Gold 50 + 1 Free PCP Visit - HMO
  • Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
  • Prestige Gold 50 + Dental + Vision+ 1 Free PCP Visit - HMO
  • Prestige Gold Essential + 3Free PCP Visits - HMO
  • Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Prestige Silver - HMO
  • Prestige Silver Essential + 3 Free PCP Visits - HMO
  • Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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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 1275734667, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
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 7 → 14 → 5 7 → 14 → 5 4 → 8 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 + 1 + 4 + 5 + 1 + 4 + 3 + 8 + 6 + 1 + 2 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1275734667.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Counselor (Mental Health)
515 S WASHBURN ST STE 104
OSHKOSH, WI 54904
Counselor (Mental Health)
515 S WASHBURN ST STE 104
OSHKOSH, WI 54904
Social Worker (Clinical)
515 S WASHBURN ST STE 104
OSHKOSH, WI 54904
Counselor (Addiction (Substance Use Disorder))
515 S WASHBURN ST STE 104
OSHKOSH, WI 54904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275734667, enumerated as an "individual" on May 31, 2007.

The provider is located at 515 S WASHBURN ST STE 104 OSHKOSH, WI 54904 and the phone number is (920) 236-8570.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: Network Health. Please consult your insurance carrier or call the provider to verify.