DR. ELAINE MARIE POULIN PHD
NPI 1942255997
Psychologist - Counseling in Fort Collins, CO
NPI Status: Active since May 24, 2006
Contact Information
5131 S COLLEGE AVE UNIT B
FORT COLLINS, CO
ZIP 80525
Phone: (970) 631-4404
- Individual
- Female
- Psychologist
- Counseling
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About ELAINE POULIN
This page provides the complete NPI Profile along with additional information for Elaine Poulin, a provider established in Fort Collins, Colorado with a medical specialization in Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1942255997 assigned on May 2006. The practitioner's primary taxonomy code is 103TC1900X with license number 3137 (CO). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1942255997
- Provider Name
- DR. ELAINE MARIE POULIN PHD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5131 S COLLEGE AVE UNIT B FORT COLLINS, CO 80525
- Location Phone
- (970) 631-4404
- Mailing Address
- 2017 LOOKOUT DR ELAINE POULIN WINDSOR, CO 80550
- Mailing Phone
- (970) 631-4404
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-24-2006
- Last Update Date
- 11-14-2016
- 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. Elaine Poulin opted out of Medicare effective on 11-14-2016 until 11-14-2026. 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
Psychologist Counseling
- Taxonomy Code
- 103TC1900X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 3137
- License State
- CO
- Taxonomy Description
- A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic - EPO
- Bronze Classic | with Bryan Health - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard | with Bryan Health - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus | with Bryan Health - EPO
- Bronze Simple Diabetes - EPO
- Bronze Simple Diabetes | with Bryan Health - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard | with Bryan Health - EPO
- Gold Elite - EPO
- Gold Elite | with Bryan Health - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard | with Bryan Health - EPO
- Silver Simple Diabetes - EPO
- Silver Simple Diabetes | with Bryan Health - EPO
- Silver Simple PCP Saver - EPO
- Silver Simple PCP Saver | with Bryan Health - EPO
- Silver Simple Women's Health with Menopause Benefits - EPO
- Silver Simple Women's Health with Menopause Benefits | with Bryan Health - EPO
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Elaine Poulin 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: 11-14-2016
Opt-Out End Date: 11-14-2026
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
Reviews for DR. ELAINE MARIE POULIN PHD
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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 1942255997, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
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 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
FORT COLLINS, CO 80525
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942255997, enumerated as an "individual" on May 24, 2006.
The provider is located at 5131 S COLLEGE AVE UNIT B FORT COLLINS, CO 80525 and the phone number is (970) 631-4404.
Psychologist with taxonomy code 103TC1900X and a focus in Counseling.
The provider might be accepting Accepts: Oscar Insurance Company and Providence Health Plan. Please consult your insurance carrier or call the provider to verify.
