DOUGLAS FOSTER THOMPSON LPC
NPI 1639302847
Counselor - Professional in Woodbury, CT

NPI Status: Active since September 03, 2009

Contact Information

51 SHERMAN HILL RD
BUILDING A, SUITE 104C
WOODBURY, CT
ZIP 06798
Phone: (203) 543-7575
Fax: (203) 331-8288

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  • Individual
  • Male
  • Years of Experience 20
  • Counselor
  • Professional
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DOUGLAS THOMPSON

This page provides the complete NPI Profile along with additional information for Douglas Thompson, a provider established in Woodbury, Connecticut with a medical specialization in Counselor, focusing in professional and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1639302847 assigned on September 2009. The practitioner's primary taxonomy code is 101YP2500X with license number 001819 (CT). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1639302847
Provider Name
DOUGLAS FOSTER THOMPSON LPC
Gender
Male
Entity Type
Individual
Location Address
51 SHERMAN HILL RD BUILDING A, SUITE 104C WOODBURY, CT 06798
Location Phone
(203) 543-7575
Location Fax
(203) 331-8288
Mailing Address
2400 MAIN ST BRIDGEPORT, CT 06606
Mailing Phone
(203) 416-1303
Medical School Name
OTHER
Graduation Year
2006
Is Sole Proprietor?
Yes
Enumeration Date
09-03-2009
Last Update Date
12-01-2015
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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.
001819
License State
CT

Medicare Participation & PECOS Enrollment Status

Douglas Thompson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Douglas Thompson 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

  • PECOS PAC ID: 5890147623

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240117003785

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

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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 1639302847, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
7
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 3 → 6 3 → 6 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 6 + 0 + 4 + 8 + 8 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1639302847.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Chiropractor
51 SHERMAN HILL RD, BUILDING A, SUITE 104B
WOODBURY, CT 06798
Psychiatry & Neurology (Psychiatry)
51 SHERMAN HILL RD
WOODBURY, CT 06798
Physical Therapist
51 SHERMAN HILL RD, A-201
WOODBURY, CT 06798
Physical Therapist (Orthopedic)
51 SHERMAN HILL RD, A-201
WOODBURY, CT 06798
Physical Therapist (Orthopedic)
51 SHERMAN HILL RD, BUILDING A, SUITE 201
WOODBURY, CT 06798
Social Worker (Clinical)
51 SHERMAN HILL RD, BUILDING A, SUITE 104C
WOODBURY, CT 06798
Counselor (Addiction (Substance Use Disorder))
51 SHERMAN HILL RD, BLDG A, STE 202
WOODBURY, CT 06798
Physical Therapist
51 SHERMAN HILL RD, STE A201
WOODBURY, CT 06798
Counselor (Addiction (Substance Use Disorder))
51 SHERMAN HILL RD, SUITE A-202
WOODBURY, CT 06798
Social Worker (Clinical)
51 SHERMAN HILL RD, STE A202
WOODBURY, CT 06798
Physical Therapist
51 SHERMAN HILL RD
WOODBURY, CT 06798

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639302847, enumerated as an "individual" on September 03, 2009.

The provider is located at 51 SHERMAN HILL RD BUILDING A, SUITE 104C WOODBURY, CT 06798 and the phone number is (203) 543-7575.

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