LANE BALABAN LPC
NPI 1568186906
Counselor - Professional in East Windsor, NJ

NPI Status: Active since September 29, 2022

Contact Information

38 ARISTOTLE WAY
EAST WINDSOR, NJ
ZIP 08512
Phone: (973) 370-3143

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

About LANE BALABAN

This page provides the complete NPI Profile along with additional information for Lane Balaban, a provider established in East Windsor, New Jersey with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1568186906 assigned on September 2022. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1568186906
Provider Name
LANE BALABAN LPC
Gender
Female
Entity Type
Individual
Location Address
38 ARISTOTLE WAY EAST WINDSOR, NJ 08512
Location Phone
(973) 370-3143
Mailing Address
38 ARISTOTLE WAY EAST WINDSOR, NJ 08512
Mailing Phone
(973) 370-3143
Is Sole Proprietor?
Yes
Enumeration Date
09-29-2022
Last Update Date
09-03-2024
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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. Lane Balaban opted out of Medicare effective on 02-12-2024 until 02-12-2026. 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

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: 02-12-2024

  • Opt-Out End Date: 02-12-2026

  • 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 1568186906, 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
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
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 6 → 12 → 3 1 → 2 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 2 + 8 + 2 + 8 + 1 + 2 + 9 + 0 + 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 1568186906.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568186906, enumerated as an "individual" on September 29, 2022.

The provider is located at 38 ARISTOTLE WAY EAST WINDSOR, NJ 08512 and the phone number is (973) 370-3143.

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