SHELBY FLOWERS MA, PLPC
NPI 1801564885
Counselor - Mental Health in Ruston, LA
NPI Status: Active since September 02, 2021
Contact Information
305 E MISSISSIPPI AVE STE 1
RUSTON, LA
ZIP 71270
Phone: (318) 202-3706
- Individual
- Female
- Years of Experience 5
- Counselor
- Mental Health
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About SHELBY FLOWERS
This page provides the complete NPI Profile along with additional information for Shelby Flowers, a provider established in Ruston, Louisiana with a medical specialization in Counselor, focusing in mental health and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1801564885 assigned on September 2021. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1801564885
- Provider Name
- SHELBY FLOWERS MA, PLPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 305 E MISSISSIPPI AVE STE 1 RUSTON, LA 71270
- Location Phone
- (318) 202-3706
- Mailing Address
- 1000 CHINABERRY DR STE 900 BOSSIER CITY, LA 71111
- Mailing Phone
- (318) 459-6795
- Medical School Name
- OTHER
- Graduation Year
- 2021
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-02-2021
- Last Update Date
- 01-20-2023
- Code Navigator
A mental health counselor like Shelby Flowers 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.
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
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 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- Blue POS 60/40 $6500 - POS
- Blue POS 70/50 $4550 - POS
- Blue POS 80/60 $3200 - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Shelby Flowers 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.
Shelby Flowers 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: 143741462
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: I20250304000101
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 SHELBY FLOWERS MA, PLPC
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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. | |||||||||
| 1 | 8 | 0 | 1 | 5 | 6 | 4 | 8 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 0 | 1 | 10 | 6 | 8 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 0 + 1 + 1 + 0 + 6 + 8 + 8 + 1 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1801564885 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
ELISABETH ANN SANDERS
Case Manager/Care Coordinator
305 E MISSISSIPPI AVE STE 1
RUSTON, LA
ZIP 71270
BRITTANY DANIELLE MCCARTHY LPC
Case Manager/Care Coordinator
305 E MISSISSIPPI AVE STE 1
RUSTON, LA
ZIP 71270
DOMINIQUE RUE
Case Manager/Care Coordinator
305 E MISSISSIPPI AVE STE 1
RUSTON, LA
ZIP 71270
CONNOR CATRON
Case Manager/Care Coordinator
305 E MISSISSIPPI AVE STE 1
RUSTON, LA
ZIP 71270
JENA PAIGE GREEN
Case Manager/Care Coordinator
305 E MISSISSIPPI AVE STE 1
RUSTON, LA
ZIP 71270
CAROLYN OWEN
Case Manager/Care Coordinator
305 E MISSISSIPPI AVE STE 1
RUSTON, LA
ZIP 71270
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801564885, enumerated as an "individual" on September 02, 2021.
The provider is located at 305 E MISSISSIPPI AVE STE 1 RUSTON, LA 71270 and the phone number is (318) 202-3706.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana and HMO. Please consult your insurance carrier or call the provider to verify.
