MRS. REBECCA M STINSON LPC
NPI 1346989076
Counselor - Professional in Franklin Springs, GA

NPI Status: Active since June 01, 2022

Contact Information

63 SPRINGS STATION DRIVE
FRANKLIN SPRINGS, GA
ZIP 30639
Phone: (706) 246-0733

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  • Individual
  • Female
  • Years of Experience 21
  • Counselor
  • Professional
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About REBECCA STINSON

This page provides the complete NPI Profile along with additional information for Rebecca Stinson, a provider established in Franklin Springs, Georgia with a medical specialization in Counselor, focusing in professional and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1346989076 assigned on June 2022. The practitioner's primary taxonomy code is 101YP2500X with license number LPC012936 (GA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1346989076
Provider Name
MRS. REBECCA M STINSON LPC
Gender
Female
Entity Type
Individual
Location Address
63 SPRINGS STATION DRIVE FRANKLIN SPRINGS, GA 30639
Location Phone
(706) 246-0733
Mailing Address
1221 WILLOWYND WAY WATKINSVILLE, GA 30677
Mailing Phone
(706) 371-4334
Medical School Name
OTHER
Graduation Year
2005
Is Sole Proprietor?
No
Enumeration Date
06-01-2022
Last Update Date
06-01-2022
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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.
LPC012936
License State
GA

Insurance Plans Accepted

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

  • SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
  • SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
  • SoloCare Gold EPO $1500 DED 10010 - EPO
  • SoloCare Silver EPO $5000 DED 10014 - EPO
  • SoloCare Silver EPO $6500 DED 10013 - EPO
  • SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
  • SoloCare Standard Gold EPO $2000 DED 10006 - EPO
  • SoloCare Standard Platinum EPO $0 DED 10005 - EPO
  • SoloCare Standard Silver EPO $6000 DED 10007 - EPO

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

Medicare Participation & PECOS Enrollment Status

Rebecca Stinson is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Rebecca Stinson 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: 6406209808

    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: I20240201003073

    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? Maybe

    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

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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 1346989076, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
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 4 → 8 9 → 18 → 9 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 8 + 6 + 1 + 8 + 8 + 1 + 8 + 0 + 1 + 4 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1346989076.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Counselor (Professional)
63 SPRINGS STATION DRIVE
FRANKLIN SPRINGS, GA 30639
Counselor (Professional)
63 SPRINGS STATION DRIVE
FRANKLIN SPRINGS, GA 30639
Psychologist (Counseling)
63 SPRINGS STATION DRIVE
FRANKLIN SPRINGS, GA 30639
Social Worker (Clinical)
63 SPRINGS STATION DRIVE
FRANKLIN SPRINGS, GA 30639
Counselor (Mental Health)
63 SPRINGS STATION DRIVE
FRANKLIN SPRINGS, GA 30639

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346989076, enumerated as an "individual" on June 01, 2022.

The provider is located at 63 SPRINGS STATION DRIVE FRANKLIN SPRINGS, GA 30639 and the phone number is (706) 246-0733.

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

The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.