JULIE STAPLES MA, LPC
NPI 1386669091
Counselor in Dearborn, MI

NPI Status: Active since July 13, 2006

Contact Information

5111 AUTO CLUB DR
#120
DEARBORN, MI
ZIP 48126
Phone: (313) 529-0735
Fax: (313) 583-0751

Get Directions Write a Review

  • Individual
  • Female
  • Years of Experience 27
  • Counselor
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JULIE STAPLES

This page provides the complete NPI Profile along with additional information for Julie Staples, a provider established in Dearborn, Michigan with a medical specialization in Counselor and more than 27 years of experience. The healthcare provider is registered in the NPI registry with number 1386669091 assigned on July 2006. The practitioner's primary taxonomy code is 101Y00000X with license number 6401007410 (MI). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1386669091
Provider Name
JULIE STAPLES MA, LPC
Gender
Female
Entity Type
Individual
Location Address
5111 AUTO CLUB DR #120 DEARBORN, MI 48126
Location Phone
(313) 529-0735
Location Fax
(313) 583-0751
Mailing Address
28000 DEQUINDRE RD WARREN, MI 48092
Mailing Phone
(586) 753-0405
Mailing Fax
(313) 583-0751
Medical School Name
OTHER
Graduation Year
1999
Is Sole Proprietor?
No
Enumeration Date
07-13-2006
Last Update Date
07-08-2007
Code Navigator

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

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
License No.
6401007410
License State
MI
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Insurance Plans Accepted

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

  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Bronson Healthcare Partners - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Balanced Silver Trinity Health East Network - HMO
  • MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO
  • MyPriority Enhanced Gold Trinity Health East Network - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Bronson Healthcare Partners - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Premier Silver Southeast Michigan Network - HMO
  • MyPriority Premier Silver Trinity Health East Network - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Bronson Healthcare Partners - HMO
  • MyPriority Standard Bronze - Corewell Health West Michigan Network - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value (No Referrals) - HMO
  • UHC Bronze Value+ (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 (No Referrals) - HMO
  • UHC Silver Advantage (No Referrals) - HMO
  • UHC Silver Advantage+ (Dental + Vision, No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO
  • UHC Silver Value (No Referrals) - HMO
  • UHC Silver Value+ (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

Julie Staples 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.

Julie Staples 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: 749630374

    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: I20231222001576

    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 JULIE STAPLES MA, LPC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1386669091
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2316612618018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 1 + 2 + 6 + 1 + 8 + 0 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1386669091 is valid because the calculated check digit 1 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.

SUSAN G MATLAS LMSW, LMFT

Social Worker

5111 AUTO CLUB DR
#120
DEARBORN, MI
ZIP 48126

(313) 583-0735

DIANE OLSON LMSW

Social Worker

5111 AUTO CLUB DR
#120
DEARBORN, MI
ZIP 48126

(313) 583-0735

ALAN WARBELOW MA, LLP

Psychologist

5111 AUTO CLUB DR
#120
DEARBORN, MI
ZIP 48126

(313) 583-0735

MS. GISELLE MARIE ST. LOUIS MA, LPC

Counselor

5111 AUTO CLUB DR
DEARBORN, MI
ZIP 48126

(313) 583-0735

PREETI VENKATARAMAN MD

Psychiatry & Neurology

(Psychiatry)

5111 AUTO CLUB DR
#120
DEARBORN, MI
ZIP 48126

(313) 583-0735

SANDHYA MALLYA MA, LLP

Psychologist

5111 AUTO CLUB DR
#120
DEARBORN, MI
ZIP 48126

(313) 583-0735

RICHARD LOOSVELT MA, LPC

Counselor

5111 AUTO CLUB DR
#120
DEARBORN, MI
ZIP 48126

(313) 583-0735

HARRY JOHN SMITH MA, LLP

Psychologist

5111 AUTO CLUB DR
#120
DEARBORN, MI
ZIP 48126

(313) 583-0735

MICHAEL JOSEPH CHIARI MS, LMSW

Social Worker

5111 AUTO CLUB DR
#120
DEARBORN, MI
ZIP 48126

(313) 583-0735

RODNEY E SPENCER MA, LLP, LMSW

Psychologist

5111 AUTO CLUB DR
#120
DEARBORN, MI
ZIP 48126

(313) 529-0735

MS. SHEILA LOUISE GIBSON MA, LLP

Psychologist

5111 AUTO CLUB DR
#120
DEARBORN, MI
ZIP 48126

(313) 583-0735

SUSAN ELAINE-SPRUCE PORTER LMSW

Social Worker

5111 AUTO CLUB DR
#120
DEARBORN, MI
ZIP 48126

(313) 583-0735

LOREN J HOFFMAN LMSW, LMFT

Social Worker

5111 AUTO CLUB DR
#120
DEARBORN, MI
ZIP 48126

(313) 583-0735

MARLA FENWICK CSW

Social Worker

(Clinical)

5111 AUTO CLUB DR
112
DEARBORN, MI
ZIP 48126

(313) 317-2000

VALERIE PRZYWARA LLP

Psychologist

(Addiction (Substance Use Disorder))

5111 AUTO CLUB DR
112
DEARBORN, MI
ZIP 48126

(313) 317-2000

HARRY ENGRAM CSW

Social Worker

(Clinical)

5111 AUTO CLUB DR
DEARBORN, MI
ZIP 48126

(313) 317-2000

LARRY EPSTEIN CSW

Social Worker

(Clinical)

5111 AUTO CLUB DR
112
DEARBORN, MI
ZIP 48126

(313) 317-2000

CLARENDA WEBB CSW

Social Worker

(Clinical)

5111 AUTO CLUB DR
112
DEARBORN, MI
ZIP 48126

(313) 317-2000

MRS. ELIZABETH ANN PADDOCK LLMSW

Social Worker

(Clinical)

5111 AUTO CLUB DR
SUITE 112
DEARBORN, MI
ZIP 48126

(313) 317-2000

MELANIE LYNN SCHWARTZ PSYD, LP

Psychologist

5111 AUTO CLUB DR
# 120
DEARBORN, MI
ZIP 48126

(313) 583-0735

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386669091, enumerated as an "individual" on July 13, 2006.

The provider is located at 5111 AUTO CLUB DR #120 DEARBORN, MI 48126 and the phone number is (313) 529-0735.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to verify.