JON PATRICK COSTALES LPC
NPI 1902361553
Counselor - Professional in Canton, GA

NPI Status: Active since February 07, 2019

Contact Information

310 PAPER TRAIL WAY STE 106
CANTON, GA
ZIP 30115
Phone: (678) 880-4645

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  • Individual
  • Male
  • Counselor
  • Professional
  • PECOS Enrolled

About JON COSTALES

This page provides the complete NPI Profile along with additional information for Jon Costales, a provider established in Canton, Georgia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1902361553 assigned on February 2019. The practitioner's primary taxonomy code is 101YP2500X with license number LPC009867 (GA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1902361553
Provider Name
JON PATRICK COSTALES LPC
Gender
Male
Entity Type
Individual
Location Address
310 PAPER TRAIL WAY STE 106 CANTON, GA 30115
Location Phone
(678) 880-4645
Mailing Address
7339 REINHARDT COLLEGE PKWY WALESKA, GA 30183
Mailing Phone
(404) 446-7678
Is Sole Proprietor?
Yes
Enumeration Date
02-07-2019
Last Update Date
02-07-2019
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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 Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
LPC009867
License State
GA

Medicare Participation & PECOS Enrollment Status

Jon Costales 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

  • 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

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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 1902361553, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
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 0 → 0 3 → 6 1 → 2 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 6 + 6 + 2 + 5 + 1 + 0 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1902361553.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Counselor (Professional)
310 PAPER TRAIL WAY STE 106
CANTON, GA 30115
Counselor (Mental Health)
310 PAPER TRAIL WAY STE 106
CANTON, GA 30115
Counselor (Professional)
310 PAPER TRAIL WAY STE 106
CANTON, GA 30115
Counselor (Mental Health)
310 PAPER TRAIL WAY STE 106
CANTON, GA 30115
Social Worker (Clinical)
310 PAPER TRAIL WAY STE 106
CANTON, GA 30115
Counselor (Mental Health)
310 PAPER TRAIL WAY STE 106
CANTON, GA 30115
Counselor (Mental Health)
310 PAPER TRAIL WAY STE 106
CANTON, GA 30115
Counselor (Mental Health)
310 PAPER TRAIL WAY STE 106
CANTON, GA 30115
Counselor (Mental Health)
310 PAPER TRAIL WAY STE 106
HOLLY SPRINGS, GA 30115
Counselor (Mental Health)
310 PAPER TRAIL WAY STE 106
CANTON, GA 30115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902361553, enumerated as an "individual" on February 07, 2019.

The provider is located at 310 PAPER TRAIL WAY STE 106 CANTON, GA 30115 and the phone number is (678) 880-4645.

Counselor with taxonomy code 101YP2500X and a focus in Professional.