MR. NATHAN R STOLTZFUS LPC
NPI 1972883221
Counselor - Professional in Lancaster, PA

NPI Status: Active since August 18, 2011

Contact Information

1886 ROHRERSTOWN RD
LANCASTER, PA
ZIP 17601
Phone: (717) 735-1920
Fax: (717) 735-1921

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  • Individual
  • Male
  • Years of Experience 21
  • Counselor
  • Professional
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About NATHAN STOLTZFUS

This page provides the complete NPI Profile along with additional information for Nathan Stoltzfus, a provider established in Lancaster, Pennsylvania with a medical specialization in Counselor, focusing in professional and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1972883221 assigned on August 2011. The practitioner's primary taxonomy code is 101YP2500X with license number PC006073 (PA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1972883221
Provider Name
MR. NATHAN R STOLTZFUS LPC
Gender
Male
Entity Type
Individual
Location Address
1886 ROHRERSTOWN RD LANCASTER, PA 17601
Location Phone
(717) 735-1920
Location Fax
(717) 735-1921
Mailing Address
785 5TH AVE STE 3 CHAMBERSBURG, PA 17201
Mailing Phone
(717) 263-9555
Mailing Fax
(717) 735-1921
Medical School Name
OTHER
Graduation Year
2005
Is Sole Proprietor?
No
Enumeration Date
08-18-2011
Last Update Date
10-14-2022
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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.
PC006073
License State
PA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

0701005079 (VA)

Insurance Plans Accepted

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

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
12310171OTHER (01)CAQH
PC006073OTHER (01)PASTATE LICENSE
103757376MEDICAID (05)PA 

Medicare Participation & PECOS Enrollment Status

Nathan Stoltzfus 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.

Nathan Stoltzfus 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: 8628427366

    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: I20240401002378

    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

Reviews for MR. NATHAN R STOLTZFUS LPC

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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 1972883221, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
1
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 7 → 14 → 5 8 → 16 → 7 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 6 + 8 + 6 + 2 + 4 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1972883221.

Other Providers at the Same Location


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

Behavior Analyst
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Counselor (Mental Health)
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Social Worker (Clinical)
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Behavior Analyst
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Social Worker (Clinical)
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Social Worker (Clinical)
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Social Worker (Clinical)
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Social Worker (Clinical)
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Social Worker (Clinical)
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Social Worker (Clinical)
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Psychologist
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Social Worker (Clinical)
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Counselor (Professional)
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Social Worker (Clinical)
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Social Worker (Clinical)
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Nurse Practitioner (Psychiatric/Mental Health)
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Nurse Practitioner (Psychiatric/Mental Health)
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Social Worker (Clinical)
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Social Worker (Clinical)
1886 ROHRERSTOWN RD
LANCASTER, PA 17601
Social Worker (Clinical)
1886 ROHRERSTOWN RD
LANCASTER, PA 17601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972883221, enumerated as an "individual" on August 18, 2011.

The provider is located at 1886 ROHRERSTOWN RD LANCASTER, PA 17601 and the phone number is (717) 735-1920.

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

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