KRISTINA BARKER MS
NPI 1871248237
Counselor in Memphis, TN

NPI Status: Active since February 15, 2022

Contact Information

2579 DOUGLASS AVE
MEMPHIS, TN
ZIP 38114
Phone: (901) 567-3554

Get Directions Write a Review

  • Individual
  • Female
  • Years of Experience 11
  • Counselor
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KRISTINA BARKER

This page provides the complete NPI Profile along with additional information for Kristina Barker, a provider established in Memphis, Tennessee with a medical specialization in Counselor and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1871248237 assigned on February 2022. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1871248237
Provider Name
KRISTINA BARKER MS
Gender
Female
Entity Type
Individual
Location Address
2579 DOUGLASS AVE MEMPHIS, TN 38114
Location Phone
(901) 567-3554
Mailing Address
2220 UNION AVE MEMPHIS, TN 38104
Mailing Phone
(901) 567-3554
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
02-15-2022
Last Update Date
02-15-2022
Code Navigator

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
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:

  • BlueCross B15E $0 virtual care from Teladoc Health� - EPO
  • BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross B17E $0 virtual care from Teladoc Health� + Adult Dental - EPO
  • BlueCross B19E $60 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health� + Adult Dental - EPO
  • BlueCross S34E $45 PCP Copay + $0 virtual care from Teladoc Health� - EPO

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

Medicare Participation & PECOS Enrollment Status

Kristina Barker 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.

Kristina Barker 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: 7719423839

    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: I20240725002113

    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 KRISTINA BARKER MS

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1871248237, 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 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
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
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 7 → 14 → 5 2 → 4 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 4 + 1 + 4 + 4 + 1 + 6 + 2 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1871248237.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
2579 DOUGLASS AVE, SOUTHEAST MENTAL HEALTH CENTER
MEMPHIS, TN 38114
Pharmacist
2579 DOUGLASS AVE
MEMPHIS, TN 38114
Pharmacy (Clinic Pharmacy)
2579 DOUGLASS AVE, SOUTHEAST MENTAL HEALTH CENTER
MEMPHIS, TN 38114
Counselor (Mental Health)
2579 DOUGLASS AVE
MEMPHIS, TN 38114
Counselor
2579 DOUGLASS AVE
MEMPHIS, TN 38114
Social Worker
2579 DOUGLASS AVE
MEMPHIS, TN 38114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871248237, enumerated as an "individual" on February 15, 2022.

The provider is located at 2579 DOUGLASS AVE MEMPHIS, TN 38114 and the phone number is (901) 567-3554.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to verify.