KELLY PRENDERGAST LPC
NPI 1669127536
Counselor - Professional in Chicago, IL
NPI Status: Active since February 18, 2022
Contact Information
3301 W 111TH ST
CHICAGO, IL
ZIP 60655
Phone: (312) 469-0486
- Individual
- Female
- Counselor
- Professional
- Opted-Out Medicare
About KELLY PRENDERGAST
This page provides the complete NPI Profile along with additional information for Kelly Prendergast, a provider established in Chicago, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1669127536 assigned on February 2022. The practitioner's primary taxonomy code is 101YP2500X with license number 178.017778 (IL). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1669127536
- Provider Name
- KELLY PRENDERGAST LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3301 W 111TH ST CHICAGO, IL 60655
- Location Phone
- (312) 469-0486
- Mailing Address
- 3301 W 111TH ST CHICAGO, IL 60655
- Mailing Phone
- (312) 469-0486
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-18-2022
- Last Update Date
- 02-18-2022
- 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. Kelly Prendergast opted out of Medicare effective on 01-01-2024 until 01-01-2026. 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.
- 178.017778
- License State
- IL
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: 01-01-2024
Opt-Out End Date: 01-01-2026
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 1669127536, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669127536, enumerated as an "individual" on February 18, 2022.
The provider is located at 3301 W 111TH ST CHICAGO, IL 60655 and the phone number is (312) 469-0486.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
