HEATHER MARIE NOVAK CSAC, LPC, ICS
NPI 1649671421
Counselor - Professional in Green Bay, WI

NPI Status: Active since September 11, 2014

Contact Information

1825 RIVERSIDE DR
GREEN BAY, WI
ZIP 54301
Phone: (920) 272-8234
Fax: (651) 323-2648

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  • Individual
  • Female
  • Years of Experience 18
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About HEATHER NOVAK

This page provides the complete NPI Profile along with additional information for Heather Novak, a provider established in Green Bay, Wisconsin with a medical specialization in Counselor, focusing in professional and more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1649671421 assigned on September 2014. The practitioner's primary taxonomy code is 101YP2500X with license number 5139-125 (WI). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1649671421
Provider Name
HEATHER MARIE NOVAK CSAC, LPC, ICS
Gender
Female
Entity Type
Individual
Location Address
1825 RIVERSIDE DR GREEN BAY, WI 54301
Location Phone
(920) 272-8234
Location Fax
(651) 323-2648
Mailing Address
1825 RIVERSIDE DR GREEN BAY, WI 54301
Mailing Phone
(920) 272-8234
Mailing Fax
(651) 323-2648
Medical School Name
OTHER
Graduation Year
2008
Is Sole Proprietor?
No
Enumeration Date
09-11-2014
Last Update Date
03-19-2024
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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

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
5139-125
License State
WI

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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

1764-130 (WI)
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

5139-125 (WI)

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 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Chorus Bronze Complete - EPO
  • Chorus Bronze HDHP - EPO
  • Chorus Catastrophic - EPO
  • Chorus Core Bronze - EPO
  • Chorus Core Gold - EPO
  • Chorus Core Silver - EPO
  • Chorus Elite Gold - EPO
  • Chorus Gold - EPO
  • Chorus Silver - EPO
  • Chorus Silver Select - EPO
  • Prevea360 Bronze HSA - HMO
  • Prevea360 Bronze Share - HMO
  • Prevea360 Catastrophic - HMO
  • Prevea360 Expanded Bronze Standard - HMO
  • Prevea360 Gold HSA - HMO
  • Prevea360 Gold Share - HMO
  • Prevea360 Gold Standard - HMO
  • Prevea360 Silver $0 Copay PCP Visits - HMO
  • Prevea360 Silver Share - HMO
  • Prevea360 Silver Standard - HMO
  • 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
  • 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 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Prestige Bronze Plus - HMO
  • Prestige Gold - HMO
  • Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
  • Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Prestige Silver - HMO
  • Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Signature Prestige Bronze $0 Deductible + Dental + Vision - HMO

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

Medicare Participation & PECOS Enrollment Status

Heather Novak 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.

Heather Novak 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: 5395183008

    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: I20240401001456

    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

Reviews for HEATHER MARIE NOVAK CSAC, LPC, ICS

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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.
1649671421
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689127244
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 1 + 2 + 7 + 2 + 4 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1649671421 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

JUDY MARIE ROEMER L.P.C.

Counselor

(Professional)

1825 RIVERSIDE DR
GREEN BAY, WI
ZIP 54301

(920) 272-8234

JEAN ANNE SWEETLAND MSW

Social Worker

(Clinical)

1825 RIVERSIDE DR
GREEN BAY, WI
ZIP 54301

(920) 437-7531

MS. NANCY ANN FENNEMA MSSW

Social Worker

(Clinical)

1825 RIVERSIDE DR
GREEN BAY, WI
ZIP 54301

(920) 272-8234

MR. FRANK H TELLER LCSW

Social Worker

(Clinical)

1825 RIVERSIDE DR
CATHOLIC CHARITIES
GREEN BAY, WI
ZIP 54301

(920) 272-8234

MEGAN A KAYE LPC

Counselor

(Professional)

1825 RIVERSIDE DR
GREEN BAY, WI
ZIP 54301

(920) 272-8234

AMY LYNN POLSTER LPC

Counselor

(Professional)

1825 RIVERSIDE DR
GREEN BAY, WI
ZIP 54301

(920) 272-8234

AMY WETZLER MS, LPC, NCC

Counselor

(Professional)

1825 RIVERSIDE DR
GREEN BAY, WI
ZIP 54301

(920) 272-8234

MS. KATHLEEN MARY KOWALKE LPC, CTRS

Counselor

(Professional)

1825 RIVERSIDE DR
GREEN BAY, WI
ZIP 54301

(920) 272-8220

CLARE SCHUMAKER

Counselor

(Professional)

1825 RIVERSIDE DR
GREEN BAY, WI
ZIP 54301

(920) 272-8234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649671421, enumerated as an "individual" on September 11, 2014.

The provider is located at 1825 RIVERSIDE DR GREEN BAY, WI 54301 and the phone number is (920) 272-8234.

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

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