GLENN VAUGHN LCPC
NPI 1699164236
Counselor in Coeur D Alene, ID
NPI Status: Active since January 20, 2015
Contact Information
416 E FOSTER AVE
2488 MERRITT CREEK LOOP SUITE NUMBER 2C
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 659-3931
- Individual
- Male
- Counselor
- Accepts Insurance
- Opted-Out Medicare
About GLENN VAUGHN
This page provides the complete NPI Profile along with additional information for Glenn Vaughn, a provider established in Coeur D Alene, Idaho with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1699164236 assigned on January 2015. The practitioner's primary taxonomy code is 101Y00000X with license number LCPC-5394 (ID). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1699164236
- Provider Name
- GLENN VAUGHN LCPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 416 E FOSTER AVE 2488 MERRITT CREEK LOOP SUITE NUMBER 2C COEUR D ALENE, ID 83814
- Location Phone
- (208) 659-3931
- Mailing Address
- 416 E FOSTER AVE COEUR D ALENE, ID 83814
- Mailing Phone
- (208) 659-3931
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-20-2015
- Last Update Date
- 01-20-2015
- 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. Glenn Vaughn opted out of Medicare effective on 08-15-2024 until 08-15-2026. 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
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LCPC-5394
- License State
- ID
- 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:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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: 08-15-2024
Opt-Out End Date: 08-15-2026
Eligible to Order and Refer? No
Reviews for GLENN VAUGHN LCPC
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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 1699164236, 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 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 74 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699164236, enumerated as an "individual" on January 20, 2015.
The provider is located at 416 E FOSTER AVE 2488 MERRITT CREEK LOOP SUITE NUMBER 2C COEUR D ALENE, ID 83814 and the phone number is (208) 659-3931.
Counselor with taxonomy code 101Y00000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
