SHAKESHA THOMAS
NPI 1669505327
Counselor in Merrillville, IN

NPI Status: Active since March 13, 2007

Contact Information

8555 TAFT ST
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 769-4005

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  • Individual
  • Female
  • Years of Experience 6
  • Counselor
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About SHAKESHA THOMAS

This page provides the complete NPI Profile along with additional information for Shakesha Thomas, a provider established in Merrillville, Indiana with a medical specialization in Counselor and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1669505327 assigned on March 2007. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1669505327
Provider Name
SHAKESHA THOMAS
Gender
Female
Entity Type
Individual
Location Address
8555 TAFT ST MERRILLVILLE, IN 46410
Location Phone
(219) 769-4005
Mailing Address
121 E RIDGE RD GARY, IN 46409
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
03-13-2007
Last Update Date
07-08-2007
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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

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Insurance Plans Accepted

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

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Gold Value ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Value+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Silver Standard (No Referrals) - EPO
  • UHC Silver Standard+ (Dental + Vision, No Referrals) - EPO
  • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO

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

Medicare Participation & PECOS Enrollment Status

Shakesha Thomas is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Shakesha Thomas 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: 5597262048

    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: I20251015001560

    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? Maybe

    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 SHAKESHA THOMAS

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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 1669505327, 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 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
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
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 6 → 12 → 3 5 → 10 → 1 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 1 + 0 + 0 + 1 + 0 + 3 + 4 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1669505327.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
8555 TAFT ST
MERRILLVILLE, IN 46410
Counselor (Mental Health)
8555 TAFT ST
MERRILLVILLE, IN 46410
Social Worker (Clinical)
8555 TAFT ST
MERRILLVILLE, IN 46410
Clinic/Center
8555 TAFT ST
MERRILLVILLE, IN 46410
Psychologist (Clinical)
8555 TAFT ST
MERRILLVILLE, IN 46410
Psychiatry & Neurology (Psychiatry)
8555 TAFT ST
MERRILLVILLE, IN 46410
Psychiatry & Neurology (Psychiatry)
8555 TAFT ST
MERRILLVILLE, IN 46410
Counselor
8555 TAFT ST
MERRILLVILLE, IN 46410
Counselor
8555 TAFT ST
MERRILLVILLE, IN 46410
Social Worker (Clinical)
8555 TAFT ST
MERRILLVILLE, IN 46410
Counselor
8555 TAFT ST
MERRILLVILLE, IN 46410
Counselor
8555 TAFT ST
MERRILLVILLE, IN 46410
Social Worker
8555 TAFT ST
MERRILLVILLE, IN 46410
Counselor
8555 TAFT ST
MERRILLVILLE, IN 46410
Counselor
8555 TAFT ST
MERRILLVILLE, IN 46410
Counselor
8555 TAFT ST
MERRILLVILLE, IN 46410
Counselor
8555 TAFT ST
MERRILLVILLE, IN 46410
Counselor
8555 TAFT ST
MERRILLVILLE, IN 46410
Registered Nurse (Psychiatric/Mental Health)
8555 TAFT ST
MERRILLVILLE, IN 46410
Counselor
8555 TAFT ST
MERRILLVILLE, IN 46410

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669505327, enumerated as an "individual" on March 13, 2007.

The provider is located at 8555 TAFT ST MERRILLVILLE, IN 46410 and the phone number is (219) 769-4005.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: CareSource and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.