JEWELYA M IANNICIELLO SUDP, LICSW
NPI 1891984498
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

NPI Status: Active since October 18, 2007

Contact Information

5001 112TH ST E
TACOMA, WA
ZIP 98446
Phone: (253) 460-0062

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  • Individual
  • Female
  • Counselor
  • Addiction (Substance Use Disorder)
  • Accepts Insurance
  • PECOS Enrolled

About JEWELYA IANNICIELLO

This page provides the complete NPI Profile along with additional information for Jewelya Ianniciello, a provider established in Tacoma, Washington with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1891984498 assigned on October 2007. The practitioner's primary taxonomy code is 101YA0400X with license number CP00005115 (WA). The provider is registered as an individual and her NPI record was last updated one year ago. Jewelya Ianniciello operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization.

NPI
1891984498
Provider Name
JEWELYA M IANNICIELLO SUDP, LICSW
Gender
Female
Entity Type
Individual
Location Address
5001 112TH ST E TACOMA, WA 98446
Location Phone
(253) 460-0062
Mailing Address
5001 112TH ST E TACOMA, WA 98446
Mailing Phone
(253) 460-0062
Is Sole Proprietor?
Yes
Enumeration Date
10-18-2007
Last Update Date
01-05-2025
Code Navigator

A Substance Abuse or Addiction Counselor like Jewelya Ianniciello advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

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 Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers
License No.
CP00005115
License State
WA

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)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

LW60174863 (WA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

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

Medicare Participation & PECOS Enrollment Status

Jewelya Ianniciello 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: 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: No

  • 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 JEWELYA M IANNICIELLO SUDP, LICSW

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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 1891984498, we treat the final digit (8) 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 82. The final step is to find the difference between that total and the next multiple of ten (90 - 82 = 8).

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
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
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 9 → 18 → 9 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 + 8 + 1 + 8 + 1 + 1 + 8 + 8 + 8 + 4 + 1 + 8 + 24 = 82

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

The next multiple of ten after 82 is 90. The difference is the calculated check digit.

90 - 82 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1891984498.

Other Providers at the Same Location


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

Social Worker (Clinical)
5001 112TH ST E
TACOMA, WA 98446
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Substance Abuse Rehabilitation Facility
5001 112TH ST E
TACOMA, WA 98446
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Peer Specialist
5001 112TH ST E
TACOMA, WA 98446
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Peer Specialist
5001 112TH ST E
TACOMA, WA 98446

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891984498, enumerated as an "individual" on October 18, 2007.

The provider is located at 5001 112TH ST E TACOMA, WA 98446 and the phone number is (253) 460-0062.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.