ALFRED BATES CANON LPC
NPI 1619401585
Counselor - Professional in Atlanta, GA
NPI Status: Active since April 17, 2017
Contact Information
2849B HENDERSON MILL RD
ATLANTA, GA
ZIP 30341
Phone: (678) 465-7537
- Individual
- Male
- Counselor
- Professional
- Opted-Out Medicare
About ALFRED CANON
This page provides the complete NPI Profile along with additional information for Alfred Canon, a provider established in Atlanta, Georgia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1619401585 assigned on April 2017. The practitioner's primary taxonomy code is 101YP2500X with license number 002599 (GA). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1619401585
- Provider Name
- ALFRED BATES CANON LPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2849B HENDERSON MILL RD ATLANTA, GA 30341
- Location Phone
- (678) 465-7537
- Mailing Address
- 3084 NORTHBROOK DR ATLANTA, GA 30341
- Mailing Phone
- (678) 465-7537
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-17-2017
- Last Update Date
- 04-17-2017
- Code Navigator
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. Alfred Canon opted out of Medicare effective on 05-18-2025 until 05-18-2027. 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.
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 Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 002599
- License State
- GA
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: 05-18-2025
Opt-Out End Date: 05-18-2027
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 1619401585, 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.
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 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
ATLANTA, GA 30341
ATLANTA, GA 30341
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619401585, enumerated as an "individual" on April 17, 2017.
The provider is located at 2849B HENDERSON MILL RD ATLANTA, GA 30341 and the phone number is (678) 465-7537.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
