MRS. MICHELLE C MANUSZAK LPCMH
NPI 1285746909
Counselor - Mental Health in Dover, DE

NPI Status: Active since August 31, 2006

Contact Information

1151 WALKER RD
DOVER, DE
ZIP 19904
Phone: (302) 674-2380
Fax: (302) 674-1299

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Years of Experience 29
Counselor
Mental Health
Accepts Insurance
Accepts Medicare Approved Payment
PECOS Enrolled

About MICHELLE MANUSZAK

This page provides the complete NPI Profile along with additional information for Michelle Manuszak, a provider established in Dover, Delaware with a medical specialization in Counselor, focusing in mental health and more than 29 years of experience. The healthcare provider is registered in the NPI registry with number 1285746909 assigned on August 2006. The practitioner's primary taxonomy code is 101YM0800X with license number PC-0000198 (DE). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI: 1285746909
Provider Name: MRS. MICHELLE C MANUSZAK LPCMH
Gender: Female
Entity Type: Individual
Location Address: 1151 WALKER RD DOVER, DE 19904
Location Phone: (302) 674-2380
Location Fax: (302) 674-1299
Mailing Address: 1151 WALKER RD DOVER, DE 19904
Mailing Phone: (302) 674-2380
Mailing Fax: (302) 674-1299
Medical School Name: OTHER
Graduation Year: 1997
Is Sole Proprietor?: No
Enumeration Date: 08-31-2006
Last Update Date: 06-24-2013
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A mental health counselor like Michelle Manuszak 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.: PC-0000198
License State: DE

Insurance Plans Accepted

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

Highmark Blue Cross Blue Shield Delaware

my Blue Access Major Events Select PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
my Blue Access Select PPO Bronze 3800 - PPO
my Blue Access Select PPO Bronze 3800 + Adult Dental and Vision - PPO
my Blue Access Select PPO Bronze 9200 - PPO
my Blue Access Select PPO Gold 0 - PPO
my Blue Access Select PPO Gold 0 + Adult Dental and Vision - PPO
my Blue Access Select PPO Gold 1700 HSA - PPO
my Blue Access Select PPO Premier Gold 0 + Adult Dental and Vision - PPO
my Blue Access Select PPO Premier Platinum 0 + Adult Dental and Vision - PPO
my Blue Access Select PPO Premier Silver 0 + Adult Dental and Vision - PPO
my Blue Access Select PPO Standard Bronze 7500 - PPO
my Blue Access Select PPO Standard Gold 2000 - PPO
my Blue Access Select PPO Standard Gold 2000 + Adult Dental and Vision - PPO
my Blue Access Select PPO Standard Platinum 0 - PPO
my Blue Access Select PPO Standard Silver 6000 - PPO

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

Medicare Participation & PECOS Enrollment Status

Michelle Manuszak 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.

Michelle Manuszak 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: 1153767603
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: I20240307000837
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

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 1285746909, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 16 → 1 + 6

Pos 4

Unchanged

Pos 5

Doubled → 14 → 1 + 4

Pos 6

Unchanged

Pos 7

Doubled → 12 → 1 + 2

Pos 8

Unchanged

Pos 9

Doubled → 0

Check

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 8 → 16 → 7 7 → 14 → 5 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 6 + 5 + 1 + 4 + 4 + 1 + 2 + 9 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9

This NPI is valid

The calculated check digit is 9, which matches the last digit of 1285746909.