CORESAIR ANTON MACK
NPI 1336696582
Counselor - Professional in Dekalb, IL

NPI Status: Active since September 06, 2016

Contact Information

220 E HILLCREST DR APT 4210
DEKALB, IL
ZIP 60115
Phone: (847) 421-4613

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  • Individual
  • Male
  • Counselor
  • Professional
  • Accepts Insurance

About CORESAIR MACK

This page provides the complete NPI Profile along with additional information for Coresair Mack, a provider established in Dekalb, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1336696582 assigned on September 2016. The practitioner's primary taxonomy code is 101YP2500X with license number 180012529 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1336696582
Provider Name
CORESAIR ANTON MACK
Gender
Male
Entity Type
Individual
Location Address
220 E HILLCREST DR APT 4210 DEKALB, IL 60115
Location Phone
(847) 421-4613
Mailing Address
220 E HILLCREST DR APT 4210 DEKALB, IL 60115
Mailing Phone
(847) 421-4613
Is Sole Proprietor?
Yes
Enumeration Date
09-06-2016
Last Update Date
05-06-2021
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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.
180012529
License State
IL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 

Insurance Plans Accepted

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

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • MyBlue Plus Bronze? 903 - POS
  • MyBlue Plus Bronze? 912 - POS
  • MyBlue Plus Bronze? Standard - Select Rx Copays - POS
  • MyBlue Plus Gold? 909 - POS
  • MyBlue Plus Gold? 910 - POS
  • MyBlue Plus Gold? Standard - Rx Copays - POS
  • MyBlue Plus Silver? 905 - POS
  • MyBlue Plus Silver? 906 - POS
  • MyBlue Plus Silver? Standard - Select Rx Copays - POS
  • Connect Bronze 2000 Indiv Med Deductible - HMO
  • Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - Rx Copay - HMO
  • Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
  • Connect Silver CMS Standard - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value (Rx Copay, No Referrals) - HMO
  • UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage (No Referrals) - HMO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus (No Referrals) - HMO
  • UHC Gold Standard (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
  • UHC Silver Copay Focus (No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO
  • UHC Silver Standard+ (Dental + Vision, No Referrals) - HMO

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

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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.
1336696582
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236612912516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 2 + 9 + 1 + 2 + 5 + 1 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1336696582 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336696582, enumerated as an "individual" on September 06, 2016.

The provider is located at 220 E HILLCREST DR APT 4210 DEKALB, IL 60115 and the phone number is (847) 421-4613.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to verify.