DAVID SHANE SMITH
NPI 1508370198
Counselor - Mental Health in Dubuque, IA
NPI Status: Active since November 19, 2017
Contact Information
2485 MARYVILLE DR
DUBUQUE, IA
ZIP 52001
Phone: (563) 590-8847
- Individual
- Male
- Years of Experience 33
- Counselor
- Mental Health
- May Accept Medicare Approved Payment
- PECOS Enrolled
About DAVID SMITH
This page provides the complete NPI Profile along with additional information for David Smith, a provider established in Dubuque, Iowa with a medical specialization in Counselor, focusing in mental health and more than 33 years of experience. The healthcare provider is registered in the NPI registry with number 1508370198 assigned on November 2017. The practitioner's primary taxonomy code is 101YM0800X with license number 254 (IA). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1508370198
- Provider Name
- DAVID SHANE SMITH
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2485 MARYVILLE DR DUBUQUE, IA 52001
- Location Phone
- (563) 590-8847
- Mailing Address
- 2485 MARYVILLE DR DUBUQUE, IA 52001
- Medical School Name
- OTHER
- Graduation Year
- 1993
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-19-2017
- Last Update Date
- 11-19-2017
- Code Navigator
A mental health counselor like David Smith 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.
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
- License No.
- 254
- License State
- IA
Medicare Participation & PECOS Enrollment Status
David Smith is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
David Smith 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: 3779005988
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: I20250318000456
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? Maybe
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
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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. | |||||||||
| 1 | 5 | 0 | 8 | 3 | 7 | 0 | 1 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 6 | 7 | 0 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 6 + 7 + 0 + 1 + 1 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1508370198 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508370198, enumerated as an "individual" on November 19, 2017.
The provider is located at 2485 MARYVILLE DR DUBUQUE, IA 52001 and the phone number is (563) 590-8847.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
