MRS. CHRISTI FOWLER MS, NCC, LPC
NPI 1295471357
Counselor - Professional in Lakewood, WI

NPI Status: Active since May 10, 2022

Contact Information

15397 STATE HIGHWAY 32
LAKEWOOD, WI
ZIP 54138
Phone: (715) 276-6321
Fax: (715) 276-1428

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 6
Counselor
Professional
Accepts Insurance
Accepts Medicare Approved Payment
PECOS Enrolled

About CHRISTI FOWLER

This page provides the complete NPI Profile along with additional information for Christi Fowler, a provider established in Lakewood, Wisconsin with a medical specialization in Counselor, focusing in professional and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1295471357 assigned on May 2022. The practitioner's primary taxonomy code is 101YP2500X with license number 8563-125 (WI). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI: 1295471357
Provider Name: MRS. CHRISTI FOWLER MS, NCC, LPC
Other Name: MS. CHRISTI PHILLIPS
Other Name Type: Former Name (1)
Gender: Female
Entity Type: Individual
Location Address: 15397 STATE HIGHWAY 32 LAKEWOOD, WI 54138
Location Phone: (715) 276-6321
Location Fax: (715) 276-1428
Mailing Address: 3900 HALL AVE STE C MARINETTE, WI 54143
Mailing Phone: (715) 735-7802
Medical School Name: OTHER
Graduation Year: 2020
Is Sole Proprietor?: Yes
Enumeration Date: 05-10-2022
Last Update Date: 03-25-2024
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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 Professional
Taxonomy Code: 101YP2500X
Type: Behavioral Health & Social Service Providers
License No.: 8563-125
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:

Anthem Blue Cross and Blue Shield

Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

Aspirus Health Plan

HMO Bronze $0 Medical Deductible - HMO
HMO Bronze 7500 - HMO
HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
HMO Gold 1500 - HMO
HMO Gold 2400 - HMO
HMO HDHP Bronze 7200 - HMO
HMO HDHP Silver 5400 - HMO
HMO Silver 5000 - HMO
HMO Silver 6600 - HMO
POS Bronze 7500 - POS

Chorus Community Health Plans

Chorus Bronze Complete - EPO
Chorus Bronze HDHP - EPO
Chorus Catastrophic - EPO
Chorus Core Bronze - EPO
Chorus Core Gold - EPO
Chorus Core Silver - EPO
Chorus Elite Gold - EPO
Chorus Gold - EPO
Chorus Silver - EPO
Chorus Silver Select - EPO

Common Ground Healthcare Cooperative

CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
CGHC Bronze Standard $7500 - Envision Network - EPO
CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
CGHC Catastrophic $9200 - Envision Network - EPO
CGHC Gold $0 Ded - Envision Network - EPO
CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
CGHC Gold $3000 - Envision Network - EPO

Dean Health Plan

Prevea360 Bronze HSA - HMO
Prevea360 Bronze Share - HMO
Prevea360 Catastrophic - HMO
Prevea360 Expanded Bronze Standard - HMO
Prevea360 Gold HSA - HMO
Prevea360 Gold Share - HMO
Prevea360 Gold Standard - HMO
Prevea360 Silver $0 Copay PCP Visits - HMO
Prevea360 Silver Share - HMO
Prevea360 Silver Standard - HMO

HealthPartners

Robin Oak $1,000 Gold - PPO
Robin Oak $1,500 Standard Gold - PPO
Robin Select $2,800 Plus Silver - PPO
Robin Select $3,500 HSA Silver - PPO
Robin Select $5,000 Standard Silver - PPO
Robin Select $6,500 Plus Bronze - PPO
Robin Select $7,500 Standard Bronze - PPO
Robin Select $8,200 HSA Bronze - PPO
Robin Select $9,200 Catastrophic - PPO

Medica

Engage by Medica Bronze HSA - EPO
Engage by Medica Bronze Share - EPO
Engage by Medica Expanded Bronze Standard - EPO
Engage by Medica Gold $0 Copay PCP Visits - EPO
Engage by Medica Gold Share - EPO
Engage by Medica Gold Standard - EPO
Engage by Medica Silver $0 Copay PCP Visits - EPO
Engage by Medica Silver Share - EPO
Engage by Medica Silver Standard - EPO
Essentia Choice Care with Medica Bronze HSA - EPO

Security Health Plan

Enrich $1,500 - 25% - HMO
Enrich $3,500 - 30% - HMO
Enrich $4,100 HDHP - HMO
Enrich $5,000 - 40% - HMO
Enrich $6,200 HDHP - HMO
Enrich $7,500 - HMO
Enrich $9,200 - HMO
Enrich Protection - HMO
Premier $1,500 - 25% - HMO
Premier $3,500 - 30% - HMO

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
UHC Bronze Standard (No Referrals) - HMO
UHC Bronze Value HSA (No Referrals) - HMO
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
UHC Gold Standard (No Referrals) - HMO
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

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

Medicare Participation & PECOS Enrollment Status

Christi Fowler 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.

Christi Fowler 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: 3870932593
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: I20240415001855
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 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	9	5	4	7	1	3	5	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	18	5	8	7	2	3	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 8 + 7 + 2 + 3 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7									7

The NPI number 1295471357 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 20 providers are registered at the same or nearby location.

MS. JODI MARIE MARSH LPC

Counselor

(Mental Health)

15397 STATE HIGHWAY 32
NORTHERN HEALTH CENTERS, INC.
LAKEWOOD, WI
ZIP 54138

About CHRISTI FOWLER

Location Map

Specialty - Primary Taxonomy

Counselor Professional

Insurance Plans Accepted

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

PECOS PAC ID: 3870932593

PECOS Enrollment ID: I20240415001855

Accepts Medicare Assignment? 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

Reviews for MRS. CHRISTI FOWLER MS, NCC, LPC

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions