MS. JANE ELLEN COOKE L.C.S.W.
NPI 1831159516
Counselor - Mental Health in Montgomeryville, PA

NPI Status: Active since March 25, 2006

Contact Information

595 BETHLEHEM PIKE
SUITE 201
MONTGOMERYVILLE, PA
ZIP 18936
Phone: (610) 970-5234
Fax: (610) 979-0945

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  • Individual
  • Female
  • Years of Experience 46
  • Counselor
  • Mental Health
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JANE COOKE

This page provides the complete NPI Profile along with additional information for Jane Cooke, a provider established in Montgomeryville, Pennsylvania with a medical specialization in Counselor, focusing in mental health and more than 46 years of experience. The healthcare provider is registered in the NPI registry with number 1831159516 assigned on March 2006. The practitioner's primary taxonomy code is 101YM0800X with license number CW014098 (PA). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1831159516
Provider Name
MS. JANE ELLEN COOKE L.C.S.W.
Gender
Female
Entity Type
Individual
Location Address
595 BETHLEHEM PIKE SUITE 201 MONTGOMERYVILLE, PA 18936
Location Phone
(610) 970-5234
Location Fax
(610) 979-0945
Mailing Address
107 HARDWOOD CT CHALFONT, PA 18914
Mailing Phone
(610) 970-5234
Mailing Fax
(610) 979-0945
Medical School Name
OTHER
Graduation Year
1980
Is Sole Proprietor?
Yes
Enumeration Date
03-25-2006
Last Update Date
07-08-2007
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A mental health counselor like Jane Cooke 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.
CW014098
License State
PA

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
CW014098OTHER (01)PASOCIAL WORK LICENSE

Medicare Participation & PECOS Enrollment Status

Jane Cooke 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.

Jane Cooke 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: 3678749413

    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: I20111229000230

    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 MS. JANE ELLEN COOKE L.C.S.W.

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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 1831159516, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
6
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 3 → 6 1 → 2 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 6 + 1 + 2 + 5 + 1 + 8 + 5 + 2 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1831159516.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
595 BETHLEHEM PIKE, SUITE 101
MONTGOMERYVILLE, PA 18936
Counselor (Professional)
595 BETHLEHEM PIKE, SUITE 222
MONTGOMERYVILLE, PA 18936
Psychologist (Clinical)
595 BETHLEHEM PIKE, SUITE 101
MONTGOMERYVILLE, PA 18936
Psychologist (Clinical)
595 BETHLEHEM PIKE, SUITE 101
MONTGOMERYVILLE, PA 18936
Counselor (Mental Health)
595 BETHLEHEM PIKE, SUITE222
MONTGOMERYVILLE, PA 18936
Counselor (Professional)
595 BETHLEHEM PIKE, SUITE 222
MONTGOMERYVILLE, PA 18936
Counselor
595 BETHLEHEM PIKE, SUITE 222
MONTGOMERYVILLE, PA 18936
Counselor (Professional)
595 BETHLEHEM PIKE, SUITE 222
MONTGOMERYVILLE, PA 18936
Counselor (Mental Health)
595 BETHLEHEM PIKE, SUITE 106
MONTGOMERYVILLE, PA 18936
Counselor
595 BETHLEHEM PIKE, SUITE 222
MONTGOMERYVILLE, PA 18936
Counselor (Professional)
595 BETHLEHEM PIKE, SUITE 222
MONTGOMERYVILLE, PA 18936
Counselor
595 BETHLEHEM PIKE, SUITE 222
MONTGOMERYVILLE, PA 18936
Social Worker (Clinical)
595 BETHLEHEM PIKE, SUITE 106
MONTGOMERYVILLE, PA 18936
Counselor (Professional)
595 BETHLEHEM PIKE, SUITE 222
MONTGOMERYVILLE, PA 18936
Psychiatry & Neurology (Psychiatry)
595 BETHLEHEM PIKE, HERITAGE EXECUTIVE CAMPUS, SUITE 106
MONTGOMERYVILLE, PA 18936
Counselor (Mental Health)
595 BETHLEHEM PIKE, SUITE 106
MONTGOMERYVILLE, PA 18936
Counselor
595 BETHLEHEM PIKE, SUITE 106
MONTGOMERYVILLE, PA 18936
Psychologist
595 BETHLEHEM PIKE, SUITE 201
MONTGOMERYVILLE, PA 18936
Counselor (Mental Health)
595 BETHLEHEM PIKE, SUITE #106
MONTGOMERYVILLE, PA 18936
Counselor (Professional)
595 BETHLEHEM PIKE, SUITE 201
MONTGOMERYVILLE, PA 18936

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831159516, enumerated as an "individual" on March 25, 2006.

The provider is located at 595 BETHLEHEM PIKE SUITE 201 MONTGOMERYVILLE, PA 18936 and the phone number is (610) 970-5234.

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.