SHANA L STOKES LPC
NPI 1912373309
Counselor - Professional in Fort Oglethorpe, GA

NPI Status: Active since August 19, 2015

Contact Information

1875 FANT DR
FORT OGLETHORPE, GA
ZIP 30742
Phone: (706) 861-3387
Fax: (888) 861-8732

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  • Individual
  • Female
  • Years of Experience 13
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SHANA STOKES

This page provides the complete NPI Profile along with additional information for Shana Stokes, a provider established in Fort Oglethorpe, Georgia with a medical specialization in Counselor, focusing in professional and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1912373309 assigned on August 2015. The practitioner's primary taxonomy code is 101YP2500X with license number LPC014661 (GA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1912373309
Provider Name
SHANA L STOKES LPC
Gender
Female
Entity Type
Individual
Location Address
1875 FANT DR FORT OGLETHORPE, GA 30742
Location Phone
(706) 861-3387
Location Fax
(888) 861-8732
Mailing Address
501 MIZE ST LA FAYETTE, GA 30728
Mailing Phone
(706) 638-5591
Mailing Fax
(888) 861-8732
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
08-19-2015
Last Update Date
04-30-2024
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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.
LPC014661
License State
GA

Insurance Plans Accepted

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

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO

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

Medicare Participation & PECOS Enrollment Status

Shana Stokes 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.

Shana Stokes 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: 6204277296

    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: I20240508001218

    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

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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 1912373309, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 6 + 7 + 6 + 3 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1912373309.

Other Providers at the Same Location


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

Counselor (Professional)
1875 FANT DR
FT OGLETHORPE, GA 30742
Counselor (Professional)
1875 FANT DR
FORT OGLETHORPE, GA 30742
Counselor (Addiction (Substance Use Disorder))
1875 FANT DR
FORT OGLETHORPE, GA 30742
Social Worker
1875 FANT DR
FT OGLETHORPE, GA 30742
Counselor (Professional)
1875 FANT DR
FORT OGLETHORPE, GA 30742
Licensed Practical Nurse
1875 FANT DR
FT OGLETHORPE, GA 30742
Pharmacy (Clinic Pharmacy)
1875 FANT DR
FT OGLETHORPE, GA 30742
Intermediate Care Facility, Mental Illness
1875 FANT DR
FORT OGLETHORPE, GA 30742
Social Worker (Clinical)
1875 FANT DR
FORT OGLETHORPE, GA 30742
Pharmacist
1875 FANT DR
FORT OGLETHORPE, GA 30742
Counselor (Addiction (Substance Use Disorder))
1875 FANT DR
FORT OGLETHORPE, GA 30742
Counselor
1875 FANT DR
FT OGLETHORPE, GA 30742
Social Worker (Clinical)
1875 FANT DR
FT OGLETHORPE, GA 30742
Counselor (Professional)
1875 FANT DR
FT OGLETHORPE, GA 30742
Counselor (Professional)
1875 FANT DR
FORT OGLETHORPE, GA 30742
Counselor (Professional)
1875 FANT DR
FORT OGLETHORPE, GA 30742
Social Worker (Clinical)
1875 FANT DR
FORT OGLETHORPE, GA 30742
Social Worker (Clinical)
1875 FANT DR
FORT OGLETHORPE, GA 30742
Marriage & Family Therapist
1875 FANT DR
FORT OGLETHORPE, GA 30742
Counselor (Professional)
1875 FANT DR
FORT OGLETHORPE, GA 30742

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912373309, enumerated as an "individual" on August 19, 2015.

The provider is located at 1875 FANT DR FORT OGLETHORPE, GA 30742 and the phone number is (706) 861-3387.

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

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.