JOHN SAMAHA
NPI 1699314997
Counselor - Professional in Monroe, WI

NPI Status: Active since January 03, 2020

Contact Information

1518 11TH ST STE 1-4
MONROE, WI
ZIP 53566
Phone: (608) 325-1070

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  • Individual
  • Male
  • Counselor
  • Professional
  • Accepts Insurance
  • PECOS Enrolled

About JOHN SAMAHA

This page provides the complete NPI Profile along with additional information for John Samaha, a provider established in Monroe, Wisconsin with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1699314997 assigned on January 2020. The practitioner's primary taxonomy code is 101YP2500X with license number 7652-125 (WI). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1699314997
Provider Name
JOHN SAMAHA
Gender
Male
Entity Type
Individual
Location Address
1518 11TH ST STE 1-4 MONROE, WI 53566
Location Phone
(608) 325-1070
Mailing Address
1518 11TH ST STE 1-4 MONROE, WI 53566
Is Sole Proprietor?
No
Enumeration Date
01-03-2020
Last Update Date
01-03-2020
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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.
7652-125
License State
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 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Better Together HMO Bronze 6500 Ded/8750 MOOP HSA - HMO
  • Better Together HMO Bronze 7500 Ded/10000 MOOP HSA - HMO
  • Better Together HMO Bronze No Medical Ded/10600 MOOP HSA - HMO
  • Better Together HMO Gold 1500 Ded/8000 MOOP with Vision - HMO
  • Better Together HMO Gold 2000 Ded/8200 MOOP - HMO
  • Better Together HMO Gold 4000 Ded/4000 MOOP HSA - HMO
  • Better Together HMO Platinum 750 Ded/2000 MOOP with Vision - HMO
  • Better Together HMO Platinum No Ded/3300 MOOP - HMO
  • Better Together HMO Platinum No Ded/5200 MOOP - HMO
  • Better Together HMO Silver 5500 Ded/8500 MOOP with Vision - HMO
  • Better Together HMO Silver 5975 Ded/5975 MOOP HSA - HMO
  • Better Together HMO Silver 6000 Ded/8900 MOOP - HMO
  • Partners HMO Bronze 10600 Ded/10600 MOOP HSA - HMO
  • Partners HMO Bronze 6000 Ded/10600 MOOP HSA - HMO
  • Partners HMO Bronze 7500 Ded/10000 MOOP HSA - HMO
  • Partners HMO Gold 1500 Ded/8000 MOOP with Vision - HMO
  • Partners HMO Gold 2000 Ded/8200 MOOP - HMO
  • Partners HMO Gold 4000 Ded/4000 MOOP HSA - HMO
  • Partners HMO Silver 5500 Ded/8500 MOOP with Vision - HMO
  • Partners HMO Silver 5975 Ded/5975 MOOP HSA - 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
  • Essentia Choice Care with Medica Bronze Share - EPO
  • Essentia Choice Care with Medica Expanded Bronze Standard - EPO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Gold Share - EPO
  • Essentia Choice Care with Medica Gold Standard - EPO
  • Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Silver Share - EPO
  • Essentia Choice Care with Medica Silver Standard - EPO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • MercyCare Bronze 10,000 (1 Free PCP Visit) - HMO
  • MercyCare Bronze Standard Expanded - HMO
  • MercyCare Gold Standard - HMO
  • MercyCare Silver 2,500 (3 Free PCP Visits) - HMO
  • MercyCare Silver Health Savings - HMO
  • MercyCare Silver Standard - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $8,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $9,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED - HMO

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

Medicare Participation & PECOS Enrollment Status

John Samaha 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

  • 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 JOHN SAMAHA

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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 1699314997, 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 83. The final step is to find the difference between that total and the next multiple of ten (90 - 83 = 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
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 9 → 18 → 9 3 → 6 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 8 + 9 + 6 + 1 + 8 + 9 + 1 + 8 + 24 = 83

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

The next multiple of ten after 83 is 90. The difference is the calculated check digit.

90 - 83 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1699314997.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Counselor (Professional)
1518 11TH ST STE 1-4
MONROE, WI 53566
Counselor (Professional)
1518 11TH ST STE 1-4
MONROE, WI 53566
Marriage & Family Therapist
1518 11TH ST STE 1-4
MONROE, WI 53566
Counselor
1518 11TH ST STE 1-4
MONROE, WI 53566

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699314997, enumerated as an "individual" on January 03, 2020.

The provider is located at 1518 11TH ST STE 1-4 MONROE, WI 53566 and the phone number is (608) 325-1070.

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

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