MS. ANITA MILHAM LMHC
NPI 1447562350
Community/Behavioral Health in Pawtucket, RI

NPI Status: Active since July 08, 2010

Contact Information

200 MAIN ST
STE 210
PAWTUCKET, RI
ZIP 02860
Phone: (401) 728-1800

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  • Individual
  • Female
  • Years of Experience 17
  • Community/Behavioral Health
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANITA MILHAM

This page provides the complete NPI Profile along with additional information for Anita Milham, a provider established in Pawtucket, Rhode Island with a medical specialization in Community/behavioral Health and more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1447562350 assigned on July 2010. The practitioner's primary taxonomy code is 251S00000X with license number MHC00614 (RI). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1447562350
Provider Name
MS. ANITA MILHAM LMHC
Gender
Female
Entity Type
Individual
Location Address
200 MAIN ST STE 210 PAWTUCKET, RI 02860
Location Phone
(401) 728-1800
Mailing Address
200 MAIN ST STE 210 PAWTUCKET, RI 02860
Mailing Phone
(401) 728-1800
Medical School Name
OTHER
Graduation Year
2009
Is Sole Proprietor?
Yes
Enumeration Date
07-08-2010
Last Update Date
04-09-2014
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
MHC00614
License State
RI
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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)
1251S00000XAgencies

Community/Behavioral Health

8251 (MA)

Insurance Plans Accepted

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

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO
  • NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO HSA Bronze 6000 - HMO
  • NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Silver 6000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO

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

Medicare Participation & PECOS Enrollment Status

Anita Milham 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.

Anita Milham 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: 7517498009

    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: I20241008003645

    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 MS. ANITA MILHAM LMHC

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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 1447562350, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 8 + 7 + 1 + 0 + 6 + 4 + 3 + 1 + 0 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1447562350.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Day Training, Developmentally Disabled Services
200 MAIN ST, SUITE 210
PAWTUCKET, RI 02860
Community/Behavioral Health
200 MAIN ST, SUITE 210
PAWTUCKET, RI 02860
In Home Supportive Care
200 MAIN ST, SUITE 210
PAWTUCKET, RI 02860
Social Worker (Clinical)
200 MAIN ST, SUITE 210
PAWTUCKET, RI 02860
Social Worker (Clinical)
200 MAIN ST
PAWTUCKET, RI 02860
Nursing Care
200 MAIN ST, SUITE 210
PAWTUCKET, RI 02860
Social Worker (Clinical)
200 MAIN ST
PAWTUCKET, RI 02860
Day Training, Developmentally Disabled Services
200 MAIN ST, SUITE 210
PAWTUCKET, RI 02860
Day Training, Developmentally Disabled Services
200 MAIN ST, SUITE 210
PAWTUCKET, RI 02860
Day Training, Developmentally Disabled Services
200 MAIN ST, SUITE 230
PAWTUCKET, RI 02860
Social Worker (Clinical)
200 MAIN ST
PAWTUCKET, RI 02860
Social Worker (Clinical)
200 MAIN ST
PAWTUCKET, RI 02860
Social Worker (Clinical)
200 MAIN ST
PAWTUCKET, RI 02860
Social Worker (Clinical)
200 MAIN ST
PAWTUCKET, RI 02860
Social Worker (Clinical)
200 MAIN ST
PAWTUCKET, RI 02860
Anesthesiology
200 MAIN ST, SUITE 350
PAWTUCKET, RI 02860
Social Worker (Clinical)
200 MAIN ST
PAWTUCKET, RI 02860
Social Worker (Clinical)
200 MAIN ST
PAWTUCKET, RI 02860

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447562350, enumerated as an "individual" on July 08, 2010.

The provider is located at 200 MAIN ST STE 210 PAWTUCKET, RI 02860 and the phone number is (401) 728-1800.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to verify.