BLACKBIRD PSYCHOTHERAPY LLC
NPI 1467024877
Counselor - Professional in Janesville, WI

NPI Status: Active since July 14, 2021

Contact Information

115 N JACKSON ST STE 100
JANESVILLE, WI
ZIP 53548
Phone: (608) 631-0911

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  • Organization
  • Counselor
  • Professional
  • Accepts Insurance

About BLACKBIRD PSYCHOTHERAPY LLC

This page provides the complete NPI Profile along with additional information for Blackbird Psychotherapy Llc, a provider established in Janesville, Wisconsin operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1467024877 assigned on July 2021. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Alicia Oczus Lpc (Owner)

NPI
1467024877
Provider Name
BLACKBIRD PSYCHOTHERAPY LLC
Entity Type
Organization
Location Address
115 N JACKSON ST STE 100 JANESVILLE, WI 53548
Location Phone
(608) 631-0911
Mailing Address
3521 EAGLES RIDGE DR BELOIT, WI 53511
Mailing Phone
(608) 290-9841
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-14-2021
Last Update Date
07-14-2021
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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 Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

  • MercyCare Bronze 10,000 (1 Free PCP Visit) - HMO
  • MercyCare Bronze Standard Expanded - HMO
  • MercyCare Gold Standard - HMO
  • MercyCare Silver 2,500 (3 Free PCP Visits) - HMO
  • MercyCare Silver Health Savings - HMO
  • MercyCare Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALICIA OCZUS LPC

Authorized Official Title
OWNER
Authorized Official Phone
(608) 631-0911

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1528430402MEDICAID (05)WI 

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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 1467024877, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
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 6 → 12 → 3 0 → 0 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 2 + 7 + 0 + 2 + 8 + 8 + 1 + 4 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1467024877.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker
115 N JACKSON ST STE 100
JANESVILLE, WI 53548

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467024877, enumerated as an "organization" on July 14, 2021.

The provider is located at 115 N JACKSON ST STE 100 JANESVILLE, WI 53548 and the phone number is (608) 631-0911.

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

The provider might be accepting Accepts: MercyCare Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.