KATHLEEN A MCINERNEY CPC-AD
NPI 1326291154
Counselor - Addiction (Substance Use Disorder) in Glen Burnie, MD

NPI Status: Active since October 24, 2008

Contact Information

122 LANGLEY ROAD NORTH
SUITE B
GLEN BURNIE, MD
ZIP 21060
Phone: (410) 222-0100
Fax: (410) 222-0116

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  • Individual
  • Female
  • Years of Experience 19
  • Counselor
  • Addiction (Substance Use Disorder)
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KATHLEEN MCINERNEY

This page provides the complete NPI Profile along with additional information for Kathleen Mcinerney, a provider established in Glen Burnie, Maryland with a medical specialization in Counselor, focusing in addiction (substance use disorder) and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1326291154 assigned on October 2008. The practitioner's primary taxonomy code is 101YA0400X with license number AD1506 (MD). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1326291154
Provider Name
KATHLEEN A MCINERNEY CPC-AD
Gender
Female
Entity Type
Individual
Location Address
122 LANGLEY ROAD NORTH SUITE B GLEN BURNIE, MD 21060
Location Phone
(410) 222-0100
Location Fax
(410) 222-0116
Mailing Address
122 LANGLEY ROAD NORTH SUITE B GLEN BURNIE, MD 21060
Mailing Phone
(410) 222-0100
Mailing Fax
(410) 222-0116
Medical School Name
OTHER
Graduation Year
2008
Is Sole Proprietor?
No
Enumeration Date
10-24-2008
Last Update Date
10-24-2008
Code Navigator

A Substance Abuse or Addiction Counselor like Kathleen Mcinerney 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.
AD1506
License State
MD

Insurance Plans Accepted

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

  • 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

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

Medicare Participation & PECOS Enrollment Status

Kathleen Mcinerney 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.

Kathleen Mcinerney 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: 7012310824

    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: I20240805002019, I20241216000666

    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 KATHLEEN A MCINERNEY CPC-AD

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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 1326291154, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
3
Unchanged
Pos 3
2
Doubled → 4
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
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 2 → 4 2 → 4 1 → 2 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 4 + 6 + 4 + 9 + 2 + 1 + 1 + 0 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1326291154.

Other Providers at the Same Location


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

Counselor (Addiction (Substance Use Disorder))
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Counselor (Addiction (Substance Use Disorder))
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Counselor (Addiction (Substance Use Disorder))
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Counselor (Addiction (Substance Use Disorder))
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Counselor (Addiction (Substance Use Disorder))
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Registered Nurse (Community Health)
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Counselor (Addiction (Substance Use Disorder))
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Registered Nurse (Community Health)
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Registered Nurse (Community Health)
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Social Worker (Clinical)
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Registered Nurse (Community Health)
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Registered Nurse (Community Health)
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Counselor (Addiction (Substance Use Disorder))
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Registered Nurse (Community Health)
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Counselor (Addiction (Substance Use Disorder))
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Health Educator
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Registered Nurse (Community Health)
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Registered Nurse (Community Health)
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Registered Nurse (Community Health)
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060
Clinic/Center (Methadone)
122 LANGLEY ROAD NORTH, SUITE B
GLEN BURNIE, MD 21060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326291154, enumerated as an "individual" on October 24, 2008.

The provider is located at 122 LANGLEY ROAD NORTH SUITE B GLEN BURNIE, MD 21060 and the phone number is (410) 222-0100.

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

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