KRISTY NAVARRO
NPI 1922488782
Counselor - Mental Health in Springfield, MA
NPI Status: Active since June 05, 2015
Contact Information
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
Phone: (413) 733-6624
- Individual
- Female
- Years of Experience 11
- Counselor
- Mental Health
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About KRISTY NAVARRO
This page provides the complete NPI Profile along with additional information for Kristy Navarro, a provider established in Springfield, Massachusetts with a medical specialization in Counselor, focusing in mental health and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1922488782 assigned on June 2015. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1922488782
- Provider Name
- KRISTY NAVARRO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 332 BIRNIE AVE SPRINGFIELD, MA 01107
- Location Phone
- (413) 733-6624
- Mailing Address
- 332 BIRNIE AVE SPRINGFIELD, MA 01107
- Mailing Phone
- (413) 733-6624
- Medical School Name
- OTHER
- Graduation Year
- 2015
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-05-2015
- Last Update Date
- 06-05-2015
- Code Navigator
A mental health counselor like Kristy Navarro provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
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 Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kristy Navarro 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.
Kristy Navarro 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: 2466847892
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: I20220321002158
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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Psychiatric diagnostic evaluation
Psychotherapy, 30 minutes
Psychotherapy, 45 minutes
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
This service was performed 21 times for 21 patientsPsychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
This service was performed 162 times for 25 patientsPsychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
This service was performed 305 times for 52 patientsReviews for KRISTY NAVARRO
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 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 | 2 | 2 | 4 | 8 | 8 | 7 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 8 | 8 | 16 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 8 + 8 + 1 + 6 + 7 + 1 + 6 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1922488782 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
CENTER FOR HUMAN DEVELOPMENT, INC
Early Intervention Provider Agency
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
MONICA JEAN CYRAN
Student in an Organized Health Care Education/Training Program
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
SUZANNE WELCH MSW
Social Worker
(Clinical)
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
CLARA GARLAND LCSW
Social Worker
(Clinical)
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
MISS MARGARET E BOWLER RN
Registered Nurse
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
MARIA SUSAN MAJKA R.N.
Registered Nurse
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
MRS. URANIA RUTH MCGRATH
Social Worker
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
VERONICA E. JOHNS L.S.W.
Social Worker
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
SUSAN MASTROIANNI LCSW
Social Worker
(Clinical)
332 BIRNIE AVE
CENTER FOR HUMAN DEVELOPMENT
SPRINGFIELD, MA
ZIP 01107
HELENA GREANEY RN CNS
Clinical Nurse Specialist
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
MS. CAMILLE FOSTER GIANARIS
Social Worker
(Clinical)
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
CENTER FOR HUMAN DEVELOPMENT, INC.
Community/Behavioral Health
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
CENTER FOR HUMAN DEVELOPMENT, INC
Clinic/Center
(Adult Day Care)
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
BARBARA CANSLER NICHOLS
Psychologist
(Counseling)
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
MELANIE KEISER
Counselor
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
AUGUST PRICE
Counselor
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
MS. CELESTINE MARIE HOLT PMHNP
Nurse Practitioner
(Psychiatric/Mental Health)
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
KAYLA FILBERT
Counselor
(Mental Health)
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
MR. KEVIN MCCARTHY
Counselor
(Mental Health)
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
CHRIS DARNELL BURNS
Counselor
332 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922488782, enumerated as an "individual" on June 05, 2015.
The provider is located at 332 BIRNIE AVE SPRINGFIELD, MA 01107 and the phone number is (413) 733-6624.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to verify.
