MARCIA ROUM BRUE LPC
NPI 1538499835
Counselor - Professional in Monona, WI

NPI Status: Active since January 08, 2010

Contact Information

6400 GISHOLT DR
SUITE 203
MONONA, WI
ZIP 53713
Phone: (608) 223-1506
Fax: (608) 223-1745

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  • Individual
  • Female
  • Counselor
  • Professional
  • Accepts Insurance
  • PECOS Enrolled

About MARCIA ROUM BRUE

This page provides the complete NPI Profile along with additional information for Marcia Roum Brue, a provider established in Monona, Wisconsin with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1538499835 assigned on January 2010. The practitioner's primary taxonomy code is 101YP2500X with license number 4319-125 (WI). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1538499835
Provider Name
MARCIA ROUM BRUE LPC
Gender
Female
Entity Type
Individual
Location Address
6400 GISHOLT DR SUITE 203 MONONA, WI 53713
Location Phone
(608) 223-1506
Location Fax
(608) 223-1745
Mailing Address
6400 GISHOLT DR SUITE 203 MONONA, WI 53713
Mailing Phone
(608) 223-1506
Mailing Fax
(608) 223-1745
Is Sole Proprietor?
Yes
Enumeration Date
01-08-2010
Last Update Date
02-05-2010
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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.
4319-125
License State
WI

Insurance Plans Accepted

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

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS

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

Medicare Participation & PECOS Enrollment Status

Marcia Roum Brue 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

  • 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 MARCIA ROUM BRUE LPC

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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 1538499835, we treat the final digit (5) 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 85. The final step is to find the difference between that total and the next multiple of ten (90 - 85 = 5).

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
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
5
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 3 → 6 4 → 8 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 6 + 8 + 8 + 9 + 1 + 8 + 8 + 6 + 24 = 85

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

The next multiple of ten after 85 is 90. The difference is the calculated check digit.

90 - 85 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1538499835.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Social Worker (Clinical)
6400 GISHOLT DR, SUITE 100
MONONA, WI 53713
Psychologist (Clinical)
6400 GISHOLT DR, STE 209
MONONA, WI 53713
Counselor (Professional)
6400 GISHOLT DR, SUITE 203
MONONA, WI 53713
Social Worker
6400 GISHOLT DR, SUITE 209
MONONA, WI 53713

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538499835, enumerated as an "individual" on January 08, 2010.

The provider is located at 6400 GISHOLT DR SUITE 203 MONONA, WI 53713 and the phone number is (608) 223-1506.

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

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