MS. MARIE ODILE PAPALIA
NPI 1457655060
Counselor - Mental Health in Philadelphia, PA

NPI Status: Active since December 23, 2010

Contact Information

S BROAD ST
PHILADELPHIA, PA
ZIP 19109
Phone: (215) 568-0860

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Opted-Out Medicare

About MARIE PAPALIA

This page provides the complete NPI Profile along with additional information for Marie Papalia, a provider established in Philadelphia, Pennsylvania with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1457655060 assigned on December 2010. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1457655060
Provider Name
MS. MARIE ODILE PAPALIA
Gender
Female
Entity Type
Individual
Location Address
S BROAD ST PHILADELPHIA, PA 19109
Location Phone
(215) 568-0860
Mailing Address
S BROAD ST PHILADELPHIA, PA 19109
Mailing Phone
(215) 568-0860
Is Sole Proprietor?
No
Enumeration Date
12-23-2010
Last Update Date
12-23-2010
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A mental health counselor like Marie Papalia provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Marie Papalia opted out of Medicare effective on 05-22-2024 until 05-22-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Medicare Participation & PECOS Enrollment Status

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.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 05-22-2024

  • Opt-Out End Date: 05-22-2026

  • Eligible to Order and Refer? 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 1457655060, 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 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
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 5 → 10 → 1 6 → 12 → 3 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 0 + 7 + 1 + 2 + 5 + 1 + 0 + 0 + 1 + 2 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1457655060.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Mental Health)
S BROAD ST
PHILADELPHIA, PA 19109
Counselor (Mental Health)
S BROAD ST
PHILADELPHIA, PA 19109
Internal Medicine
S BROAD ST
PHILADELPHIA, PA 19109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457655060, enumerated as an "individual" on December 23, 2010.

The provider is located at S BROAD ST PHILADELPHIA, PA 19109 and the phone number is (215) 568-0860.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.