CRAIG EATON M.A. CPC
NPI 1700971629
Counselor - Mental Health in Grand Island, NE

NPI Status: Active since October 04, 2006

Contact Information

615 N ELM ST
GRAND ISLAND, NE
ZIP 68801
Phone: (308) 395-1046

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  • Individual
  • Male
  • Years of Experience 29
  • Counselor
  • Mental Health
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About CRAIG EATON

This page provides the complete NPI Profile along with additional information for Craig Eaton, a provider established in Grand Island, Nebraska with a medical specialization in Counselor, focusing in mental health and more than 29 years of experience. The healthcare provider is registered in the NPI registry with number 1700971629 assigned on October 2006. The practitioner's primary taxonomy code is 101YM0800X with license number 2071 (NE). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1700971629
Provider Name
CRAIG EATON M.A. CPC
Gender
Male
Entity Type
Individual
Location Address
615 N ELM ST GRAND ISLAND, NE 68801
Location Phone
(308) 395-1046
Mailing Address
615 N ELM ST GRAND ISLAND, NE 68801
Medical School Name
OTHER
Graduation Year
1997
Is Sole Proprietor?
No
Enumeration Date
10-04-2006
Last Update Date
07-08-2007
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A mental health counselor like Craig Eaton 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.

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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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
2071
License State
NE

Insurance Plans Accepted

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

  • 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 Standard (No Referrals) - EPO
  • UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, 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 Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Silver Standard (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

Craig Eaton is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Craig Eaton 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: 3678003506

    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: I20250207001097

    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? Yes

    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 CRAIG EATON M.A. CPC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700971629
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2700187264
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 8 + 7 + 2 + 6 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1700971629 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

MR. MICHAEL GLEN KLEIN M.S.

Counselor

(Mental Health)

615 N ELM ST
GRAND ISLAND, NE
ZIP 68801

(308) 379-8621

MRS. JILL MARIE CRUMRINE-VASQUEZ MSED, LMHP, LPC

Counselor

(Mental Health)

615 N ELM ST
GRAND ISLAND, NE
ZIP 68801

(308) 395-1044

MS. KARA SUZANNE WRIGHT PLMHP

Counselor

(Mental Health)

615 N ELM ST
POB 1763
GRAND ISLAND, NE
ZIP 68801

(308) 379-8613

REBECCA CYZA PLMHP

Counselor

(Mental Health)

615 N ELM ST
GRAND ISLAND, NE
ZIP 68801

(308) 395-1010

MRS. KELSEY LEIGH VAN DUSEN LMHP

Counselor

(Mental Health)

615 N ELM ST
GRAND ISLAND, NE
ZIP 68801

(308) 379-2242

MR. DOUGLAS ROGER TILLMAN MS ED, PLMHP

Counselor

615 N ELM ST
GRAND ISLAND, NE
ZIP 68801

(308) 395-1025

MRS. CYNTHIA LEE KISSACK M.S.ED.

Counselor

(Mental Health)

615 N ELM ST
GRAND ISLAND, NE
ZIP 68801

(308) 395-1044

MRS. SHEREE S BURNEY MA

Counselor

(Mental Health)

615 N ELM ST
GRAND ISLAND, NE
ZIP 68801

(308) 385-5035

MID-PLAINS CENTER FOR BEHAVIORAL HEALTHCARE SERVICES, LLC

Clinic/Center

(Mental Health (Including Community Mental Health Center))

615 N ELM ST
GRAND ISLAND, NE
ZIP 68801

(308) 395-1010

ERIC FRANCIS SCHMIDT PMHP

Psychologist

615 N ELM ST
GRAND ISLAND, NE
ZIP 68801

(308) 395-1046

MS. DEBBY D SAWYER M.S.

Counselor

(Mental Health)

615 N ELM ST
GRAND ISLAND, NE
ZIP 68801

(308) 395-1048

BRITTNEY LOTH

Case Manager/Care Coordinator

615 N ELM ST
GRAND ISLAND, NE
ZIP 68801

(308) 385-5250

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700971629, enumerated as an "individual" on October 04, 2006.

The provider is located at 615 N ELM ST GRAND ISLAND, NE 68801 and the phone number is (308) 395-1046.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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