PHILLIP MICHAEL BASS MDIV, THM, LCMHC
NPI 1912316084
Counselor - Professional in Chapel Hill, NC
NPI Status: Active since August 04, 2014
Contact Information
1777 FORDHAM BLVD STE 204
CHAPEL HILL, NC
ZIP 27514
Phone: (919) 283-3137
- Individual
- Male
- Counselor
- Professional
- Accepts Insurance
- Opted-Out Medicare
About PHILLIP BASS
This page provides the complete NPI Profile along with additional information for Phillip Bass, a provider established in Chapel Hill, North Carolina with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1912316084 assigned on August 2014. The practitioner's primary taxonomy code is 101YP2500X with license number A10502 (NC). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1912316084
- Provider Name
- PHILLIP MICHAEL BASS MDIV, THM, LCMHC
- Other Name
- PHILLIP MICHAEL SHOE MDIV, THM, LPC, NCC
- Other Name Type
- Former Name (1)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1777 FORDHAM BLVD STE 204 CHAPEL HILL, NC 27514
- Location Phone
- (919) 283-3137
- Mailing Address
- 5220 HALLMARK RD STE 403B DURHAM, NC 27712
- Mailing Phone
- (919) 210-4627
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-04-2014
- Last Update Date
- 03-26-2024
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Phillip Bass opted out of Medicare effective on 02-06-2024 until 02-06-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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 Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- A10502
- License State
- NC
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
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.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-06-2024
Opt-Out End Date: 02-06-2026
Eligible to Order and Refer? No
Reviews for PHILLIP MICHAEL BASS MDIV, THM, LCMHC
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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 | 9 | 1 | 2 | 3 | 1 | 6 | 0 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 6 | 1 | 12 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 6 + 1 + 1 + 2 + 0 + 1 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1912316084 is valid because the calculated check digit 4 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.
ELIJAH BURNER LCMHCA, NCC
Counselor
(Mental Health)
1777 FORDHAM BLVD STE 204
CHAPEL HILL, NC
ZIP 27514
RACHEL ELIZABETH COLEMAN LCMHCA, NCC
Counselor
(Mental Health)
1777 FORDHAM BLVD STE 204
CHAPEL HILL, NC
ZIP 27514
JONATHAN CHRISTIAN BELL LCSW, LCAS
Social Worker
1777 FORDHAM BLVD STE 204
CHAPEL HILL, NC
ZIP 27514
J BELL COUNSELING SERVICES PLLC
Social Worker
1777 FORDHAM BLVD STE 204
CHAPEL HILL, NC
ZIP 27514
ELLEN JANE HIRSCH
Counselor
(Mental Health)
1777 FORDHAM BLVD STE 204
CHAPEL HILL, NC
ZIP 27514
TRINITAS SERVICES
Counselor
(Mental Health)
1777 FORDHAM BLVD STE 204
CHAPEL HILL, NC
ZIP 27514
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912316084, enumerated as an "individual" on August 04, 2014.
The provider is located at 1777 FORDHAM BLVD STE 204 CHAPEL HILL, NC 27514 and the phone number is (919) 283-3137.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Aetna CVS Health and Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to verify.
