COUNSELING CONNECTION OF MEDFORD LLC
NPI 1568659365
Clinic/Center - Adult Mental Health in Medford, WI

NPI Status: Active since September 26, 2007

Contact Information

123 W STATE ST
SUITE #4
MEDFORD, WI
ZIP 54451
Phone: (715) 748-4312
Fax: (715) 748-4407

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  • Organization
  • Clinic/Center
  • Adult Mental Health
  • Accepts Insurance

About COUNSELING CONNECTION OF MEDFORD LLC

This page provides the complete NPI Profile along with additional information for Counseling Connection Of Medford Llc, a provider established in Medford, Wisconsin operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1568659365 assigned on September 2007. The practitioner's primary taxonomy code is 261QM0850X with license number 3054-125 (WI). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Kelly J. Schultz L.p.c And Sac (Owner And Therapist)

NPI
1568659365
Provider Name
COUNSELING CONNECTION OF MEDFORD LLC
Entity Type
Organization
Location Address
123 W STATE ST SUITE #4 MEDFORD, WI 54451
Location Phone
(715) 748-4312
Location Fax
(715) 748-4407
Mailing Address
123 W STATE ST SUITE #4 MEDFORD, WI 54451
Mailing Phone
(715) 748-4312
Mailing Fax
(715) 748-4407
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2007
Last Update Date
10-09-2008
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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

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
License No.
3054-125
License State
WI
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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
  • HMO Bronze $0 Medical Deductible - HMO
  • HMO Bronze 10000 - HMO
  • HMO Bronze 7500 - HMO
  • HMO Catastrophic 10600 with 3 free PCP visits - HMO
  • HMO Gold 2000 - HMO
  • HMO Gold 2700 - HMO
  • HMO HDHP Silver 5900 - HMO
  • HMO Silver 6000 - HMO
  • HMO Silver 6600 - HMO
  • POS Bronze 7500 - POS
  • Engage by Medica Bronze HSA - EPO
  • Engage by Medica Bronze Share - EPO
  • Engage by Medica Expanded Bronze Standard - EPO
  • Engage by Medica Gold $0 Copay PCP Visits - EPO
  • Engage by Medica Gold Share - EPO
  • Engage by Medica Gold Standard - EPO
  • Engage by Medica Silver $0 Copay PCP Visits - EPO
  • Engage by Medica Silver Share - EPO
  • Engage by Medica Silver Standard - EPO
  • Essentia Choice Care with Medica Bronze HSA - EPO
  • Enrich $2,000 - 25% - HMO
  • Enrich $3,500 - 30% - HMO
  • Enrich $4,000 - 50% - HMO
  • Enrich $5,000 HDHP - HMO
  • Enrich $6,000 - 40% - HMO
  • Enrich $7,500 - HMO
  • Enrich $7,500 HDHP - HMO
  • Enrich $9,500 - HMO
  • Enrich Protection - HMO
  • Premier $2,000 - 25% - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KELLY J. SCHULTZ L.P.C AND SAC

Authorized Official Title
OWNER AND THERAPIST
Authorized Official Phone
(715) 748-4312

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
43576100MEDICAID (05)WI 

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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 1568659365, 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 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
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 6 → 12 → 3 6 → 12 → 3 9 → 18 → 9 6 → 12 → 3

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 + 1 + 2 + 5 + 1 + 8 + 3 + 1 + 2 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1568659365.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Audiologist-Hearing Aid Fitter
123 W STATE ST
MEDFORD, WI 54451
Counselor (Mental Health)
123 W STATE ST
MEDFORD, WI 54451
Counselor (Mental Health)
123 W STATE ST
MEDFORD, WI 54451
Clinic/Center (Medical Specialty)
123 W STATE ST
MEDFORD, WI 54451
Clinic/Center
123 W STATE ST
MEDFORD, WI 54451
Massage Therapist
123 W STATE ST
MEDFORD, WI 54451
Chiropractor
123 W STATE ST
MEDFORD, WI 54451
Chiropractor
123 W STATE ST
MEDFORD, WI 54451

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568659365, enumerated as an "organization" on September 26, 2007.

The provider is located at 123 W STATE ST SUITE #4 MEDFORD, WI 54451 and the phone number is (715) 748-4312.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.

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