KAREN BARNES
NPI 1578291266
Case Manager/Care Coordinator in Beachwood, OH

NPI Status: Active since August 10, 2022

Contact Information

23366 COMMERCE PARK STE 100B
BEACHWOOD, OH
ZIP 44122
Phone: (216) 292-2880

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Case Manager/Care Coordinator
Accepts Insurance

About KAREN BARNES

This page provides the complete NPI Profile along with additional information for Karen Barnes, a provider established in Beachwood, Ohio with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1578291266 assigned on August 2022. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI: 1578291266
Provider Name: KAREN BARNES
Gender: Female
Entity Type: Individual
Location Address: 23366 COMMERCE PARK STE 100B BEACHWOOD, OH 44122
Location Phone: (216) 292-2880
Mailing Address: 23366 COMMERCE PARK STE 100B BEACHWOOD, OH 44122
Mailing Phone: (216) 292-2880
Is Sole Proprietor?: Yes
Enumeration Date: 08-10-2022
Last Update Date: 04-09-2024
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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: Case Manager/Care Coordinator
Taxonomy Code: 171M00000X
Type: Other Service Providers
License State: OH
Taxonomy Description: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Insurance Plans Accepted

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

CareSource

Bronze First 7500 $25 Generic Drugs - HMO
Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
Core Gold 1500 $10 Generic Drugs - HMO
Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Gold 1500 $15 Generic Drugs - HMO
Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
HDHP Preventive Silver 5500 $0 Select Drugs - HMO
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Low Premium Silver 6000 $3 Generic Drugs - HMO
Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
Silver 5000 $20 Generic Drugs - HMO
Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO

Molina Healthcare

Bronze 10 - HMO
Bronze 8 - HMO
Bronze 9 - HMO
Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 8 - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 12 with first 4 free PCP or MH visits - HMO
Silver 8 - HMO

Medicare

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

Medicaid

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.

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
0346639	MEDICAID (05)	OH

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	7	8	2	9	1	2	6	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	14	8	4	9	2	2	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 4 + 9 + 2 + 2 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6									6

The NPI number 1578291266 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 12 providers are registered at the same or nearby location.

PSYCHO SOCIAL THERAPIES,LTD

Social Worker

(Clinical)