JACK A VENBRUX M.A., LCPC, LMHC
NPI 1679759500
Counselor - Mental Health in Coeur D Alene, ID
NPI Status: Active since January 10, 2008
Contact Information
1103 W IRONWOOD DR
COEUR D ALENE, ID
ZIP 83814
Phone: (509) 336-5972
- Individual
- Male
- Counselor
- Mental Health
- Accepts Insurance
- Opted-Out Medicare
About JACK VENBRUX
This page provides the complete NPI Profile along with additional information for Jack Venbrux, a provider established in Coeur D Alene, Idaho with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1679759500 assigned on January 2008. The practitioner's primary taxonomy code is 101YM0800X with license number LCPC-6701 (ID). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1679759500
- Provider Name
- JACK A VENBRUX M.A., LCPC, LMHC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1103 W IRONWOOD DR COEUR D ALENE, ID 83814
- Location Phone
- (509) 336-5972
- Mailing Address
- 1103 W IRONWOOD DR COEUR D ALENE, ID 83814
- Mailing Phone
- (509) 336-5972
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-10-2008
- Last Update Date
- 10-25-2018
- Code Navigator
A mental health counselor like Jack Venbrux provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
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. Jack Venbrux opted out of Medicare effective on 02-28-2024 until 02-28-2026. 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 Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LCPC-6701
- License State
- ID
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) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | LH60249089 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| LCPC-6701 | OTHER (01) | ID | PROVIDER LICENSE STATE OF IDAHO |
| LH60249089 | OTHER (01) | WA | PROVIDER LICENSE WA STATE |
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: 02-28-2024
Opt-Out End Date: 02-28-2026
Eligible to Order and Refer? No
Reviews for JACK A VENBRUX M.A., LCPC, LMHC
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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 1679759500, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679759500, enumerated as an "individual" on January 10, 2008.
The provider is located at 1103 W IRONWOOD DR COEUR D ALENE, ID 83814 and the phone number is (509) 336-5972.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
