DOUGLAS P DISTEFANO LPC
NPI 1558072454
Counselor - Mental Health in Phoenix, AZ
NPI Status: Active since December 12, 2022
Contact Information
1919 E THOMAS RD
PHOENIX, AZ
ZIP 85016
Phone: (602) 933-0414
- Individual
- Male
- Counselor
- Mental Health
- Accepts Insurance
- PECOS Enrolled
About DOUGLAS DISTEFANO
This page provides the complete NPI Profile along with additional information for Douglas Distefano, a provider established in Phoenix, Arizona with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1558072454 assigned on December 2022. The practitioner's primary taxonomy code is 101YM0800X with license number LPC-21266 (AZ). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1558072454
- Provider Name
- DOUGLAS P DISTEFANO LPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1919 E THOMAS RD PHOENIX, AZ 85016
- Location Phone
- (602) 933-0414
- Mailing Address
- 2108 E THOMAS RD STE 130 PHOENIX, AZ 85016
- Mailing Phone
- (602) 933-1813
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-12-2022
- Last Update Date
- 08-28-2023
- Code Navigator
A mental health counselor like Douglas Distefano 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.
- LPC-21266
- License State
- AZ
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AZ Blue ACA StandardHealth Silver with Health Choice - HMO
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Simple - HMO
- Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
- Bronze Simple Chronic Care CKM - HMO
- Buena Salud Bronce Simple Para Diabetes - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Gold Simple - HMO
- Gold Simple Diabetes - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple Diabetes - HMO
- Silver Simple PCP Saver - HMO
- Silver Simple Specialist Saver with COPD - HMO
- Silver Simple Women's Health with Menopause Benefits - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Douglas Distefano 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 DOUGLAS P DISTEFANO 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 1558072454, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PHOENIX, AZ 85016
PHOENIX, AZ 85016
PHOENIX, AZ 85016
PHOENIX, AZ 85016
PHOENIX, AZ 85016
PHOENIX, AZ 85016
PHOENIX, AZ 85016
PHOENIX, AZ 85016
PHOENIX, AZ 85016
PHOENIX, AZ 85016
PHOENIX, AZ 85016
PHOENIX, AZ 85016
PHOENIX, AZ 85016
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558072454, enumerated as an "individual" on December 12, 2022.
The provider is located at 1919 E THOMAS RD PHOENIX, AZ 85016 and the phone number is (602) 933-0414.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona and Oscar Health. Please consult your insurance carrier or call the provider to verify.
