MS. LISA G POORE MS, LPC
NPI 1497046486
Counselor - Professional in Suwanee, GA

NPI Status: Active since April 25, 2011

Contact Information

3905 JOHNS CREEK CT
SUITE 260
SUWANEE, GA
ZIP 30024
Phone: (770) 753-0350
Fax: (770) 497-9536

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  • Individual
  • Female
  • Counselor
  • Professional
  • Opted-Out Medicare

About LISA POORE

This page provides the complete NPI Profile along with additional information for Lisa Poore, a provider established in Suwanee, Georgia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1497046486 assigned on April 2011. The practitioner's primary taxonomy code is 101YP2500X with license number LPC001741 (GA). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1497046486
Provider Name
MS. LISA G POORE MS, LPC
Gender
Female
Entity Type
Individual
Location Address
3905 JOHNS CREEK CT SUITE 260 SUWANEE, GA 30024
Location Phone
(770) 753-0350
Location Fax
(770) 497-9536
Mailing Address
3905 JOHNS CREEK CT SUITE 260 SUWANEE, GA 30024
Mailing Phone
(770) 753-0350
Mailing Fax
(770) 497-9536
Is Sole Proprietor?
No
Enumeration Date
04-25-2011
Last Update Date
04-25-2011
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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. Lisa Poore opted out of Medicare effective on 01-01-2024 until 01-01-2026. 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.

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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.
LPC001741
License State
GA

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: 01-01-2024

  • Opt-Out End Date: 01-01-2026

  • 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 1497046486, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 9 → 18 → 9 0 → 0 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 8 + 7 + 0 + 4 + 1 + 2 + 4 + 1 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1497046486.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Occupational Therapist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Physical Therapist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Speech-Language Pathologist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Speech-Language Pathologist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Occupational Therapist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3905 JOHNS CREEK CT, STE 240
SUWANEE, GA 30024
Counselor (Professional)
3905 JOHNS CREEK CT, SUITE 260
SUWANEE, GA 30024
Speech-Language Pathologist
3905 JOHNS CREEK CT, STE 250
SUWANEE, GA 30024
Speech-Language Pathologist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Speech-Language Pathologist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Speech-Language Pathologist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Speech-Language Pathologist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Occupational Therapist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Psychologist
3905 JOHNS CREEK CT, SUITE 240
SUWANEE, GA 30024
Speech-Language Pathologist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Counselor (Professional)
3905 JOHNS CREEK CT, SUITE 260
SUWANEE, GA 30024
Counselor (Professional)
3905 JOHNS CREEK CT, SUITE 260
SUWANEE, GA 30024
Occupational Therapist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Occupational Therapist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Speech-Language Pathologist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497046486, enumerated as an "individual" on April 25, 2011.

The provider is located at 3905 JOHNS CREEK CT SUITE 260 SUWANEE, GA 30024 and the phone number is (770) 753-0350.

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