MRS. SHELLY LYNN THOMPSON
NPI 1942212535
Counselor - Professional in Lubbock, TX
NPI Status: Active since August 12, 2006
Contact Information
5121 69TH ST STE B711
LUBBOCK, TX
ZIP 79424
Phone: (806) 798-3000
Fax: (806) 798-3005
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About SHELLY THOMPSON
This page provides the complete NPI Profile along with additional information for Shelly Thompson, a provider established in Lubbock, Texas with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1942212535 assigned on August 2006. The practitioner's primary taxonomy code is 101YP2500X with license number 20311 (TX). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1942212535
- Provider Name
- MRS. SHELLY LYNN THOMPSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5121 69TH ST STE B711 LUBBOCK, TX 79424
- Location Phone
- (806) 798-3000
- Location Fax
- (806) 798-3005
- Mailing Address
- 6018 13TH ST LUBBOCK, TX 79416
- Mailing Phone
- (806) 791-4809
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-12-2006
- Last Update Date
- 01-11-2008
- 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. Shelly Thompson opted out of Medicare effective on 06-11-2024 until 06-11-2026. 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 but is permitted to 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.
- 20311
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Diabetes Care Gold HMO 014 - HMO
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Savers Bronze HMO H S A 009 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7317LC | OTHER (01) | TX | BCBS |
Medicare Participation & PECOS Enrollment Status
Shelly Thompson 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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 06-11-2024
Opt-Out End Date: 06-11-2026
Eligible to Order and Refer? 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 1942212535, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942212535, enumerated as an "individual" on August 12, 2006.
The provider is located at 5121 69TH ST STE B711 LUBBOCK, TX 79424 and the phone number is (806) 798-3000.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross. Please consult your insurance carrier or call the provider to verify.
