SHEILA M PIATEK PCC-S, LICDC-CS
NPI 1609126663
Counselor - Professional in Sandusky, OH

NPI Status: Active since September 17, 2012

Contact Information

1925 HAYES AVE
SANDUSKY, OH
ZIP 44870
Phone: (419) 557-5177
Fax: (419) 557-5179

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Counselor
Professional
Accepts Insurance
PECOS Enrolled

About SHEILA PIATEK

This page provides the complete NPI Profile along with additional information for Sheila Piatek, a provider established in Sandusky, Ohio with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1609126663 assigned on September 2012. The practitioner's primary taxonomy code is 101YP2500X with license number E.1000655 (OH). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI: 1609126663
Provider Name: SHEILA M PIATEK PCC-S, LICDC-CS
Gender: Female
Entity Type: Individual
Location Address: 1925 HAYES AVE SANDUSKY, OH 44870
Location Phone: (419) 557-5177
Location Fax: (419) 557-5179
Mailing Address: 1925 HAYES AVE SANDUSKY, OH 44870
Mailing Phone: (419) 557-5177
Mailing Fax: (419) 557-5179
Is Sole Proprietor?: No
Enumeration Date: 09-17-2012
Last Update Date: 01-08-2020
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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.: E.1000655
License State: OH

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	101YP2500X	Behavioral Health & Social Service Providers	Counselor Professional	LICDC.161556 (OH)

Insurance Plans Accepted

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

MedMutual

Bronze $8,300 w/ Adult Dental ON-EX - HMO
Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
Bronze HSA $7,300 ON-EX - HMO
Bronze Standard w/ Virtual & Wellness - HMO
Gold $1,000 w/ Adult Dental ON-EX - HMO
Gold $1,000 w/ Virtual & Wellness ON-EX - HMO
Gold $500 w/ Virtual & Wellness ON-EX - HMO
Gold Standard w/ Virtual & Wellness - HMO
Silver $5,000 w/ Adult Dental ON-EX - HMO
Silver $5,000 w/ Virtual & Wellness ON-EX - HMO
Silver $5,800 w/ Virtual & Wellness ON-EX - HMO
Silver Standard w/ Virtual & Wellness - HMO

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

Medicare Participation & PECOS Enrollment Status

Sheila Piatek 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

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 1609126663, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 0

Pos 4

Unchanged

Pos 5

Doubled → 2

Pos 6

Unchanged

Pos 7

Doubled → 12 → 1 + 2

Pos 8

Unchanged

Pos 9

Doubled → 12 → 1 + 2

Check

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 0 → 0 1 → 2 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 0 + 9 + 2 + 2 + 1 + 2 + 6 + 1 + 2 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3

This NPI is valid

The calculated check digit is 3, which matches the last digit of 1609126663.