JAN FISHER CLARK LPC
NPI 1548927379
Counselor - Professional in Chubbuck, ID

NPI Status: Active since November 29, 2021

Contact Information

265 E CHUBBUCK RD
CHUBBUCK, ID
ZIP 83202
Phone: (208) 237-1711
Fax: (208) 237-9806

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

About JAN CLARK

This page provides the complete NPI Profile along with additional information for Jan Clark, a provider established in Chubbuck, Idaho with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1548927379 assigned on November 2021. The practitioner's primary taxonomy code is 101YP2500X with license number LPC-8452 (ID). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1548927379
Provider Name
JAN FISHER CLARK LPC
Gender
Female
Entity Type
Individual
Location Address
265 E CHUBBUCK RD CHUBBUCK, ID 83202
Location Phone
(208) 237-1711
Location Fax
(208) 237-9806
Mailing Address
265 E CHUBBUCK RD CHUBBUCK, ID 83202
Mailing Phone
(208) 237-1711
Mailing Fax
(208) 237-9806
Is Sole Proprietor?
No
Enumeration Date
11-29-2021
Last Update Date
11-29-2021
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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.
LPC-8452
License State
ID

Insurance Plans Accepted

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

  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Moda Select Texas Standard Gold - EPO
  • Moda Select Texas Standard Silver - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO

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

Medicare Participation & PECOS Enrollment Status

Jan Clark 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 JAN FISHER CLARK 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 1548927379, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 4 → 8 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 8 + 8 + 1 + 8 + 2 + 1 + 4 + 3 + 1 + 4 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1548927379.

Other Providers at the Same Location


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

Physical Therapist
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Counselor (Professional)
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Counselor
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Counselor (Mental Health)
265 E CHUBBUCK RD, STE A
CHUBBUCK, ID 83202
Counselor (Mental Health)
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Counselor (Mental Health)
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Community/Behavioral Health
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Case Management
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Peer Specialist
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Specialist
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Social Worker
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Counselor (Professional)
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Social Worker
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Physical Therapist
265 E CHUBBUCK RD, STE A
CHUBBUCK, ID 83202
Social Worker
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Occupational Therapist
265 E CHUBBUCK RD, STE A
CHUBBUCK, ID 83202
Social Worker
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Social Worker (Clinical)
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Psychologist
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Social Worker (Clinical)
265 E CHUBBUCK RD
CHUBBUCK, ID 83202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548927379, enumerated as an "individual" on November 29, 2021.

The provider is located at 265 E CHUBBUCK RD CHUBBUCK, ID 83202 and the phone number is (208) 237-1711.

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

The provider might be accepting Accepts: Moda Health Plan, Inc., Providence Health Plan and. Please consult your insurance carrier or call the provider to verify.