✓ Licensed & Credentialed Counselor (101Y00000X) ⚠️ OIG Exclusion Match 🩺 Entity Type 1 (Individual)

GREGORY ARNELL BARNEY, LLPC 6401010818 (NPI #1679853071)

Counselor • NILES, MI • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1679853071
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
101Y00000X
Licensed & Credentialed Counselor
Box 32 Service Location & ZIP+4
6 ASTER, NILES, MI, 49120-4383
✓ 9-Digit EDI 837 ZIP+4 (49120-4383)
Practice Phone & Referral Fax
Direct NPPES Verification Line
⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT: NPI 1679853071 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(a)(1) — Conviction of Program-Related Crimes (Mandatory 5-Yr Min) — Effective 2025-04-20). Verify before submitting Medicare/Medicaid claims.

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1679853071 (NPI-1 Individual Practitioner)
Provider / Legal NameGREGORY ARNELL BARNEY, LLPC 6401010818
Plain-English SpecialtyLicensed & Credentialed Counselor
NUCC Code: 101Y00000X (Counselor)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address6 ASTER, NILES, MI, 49120-4383
Practice Telephone / FaxTel: (269) 591-9067
Administrative Mailing AddressPO BOX 662, NILES, MI, 49120-0662
Enumeration & Last SyncEnumerated: 2011-08-17 | CMS Record Updated: 2011-08-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6 ASTER, NILES, MI, 49120-4383

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Plain-English Taxonomy & CMS Crosswalk (101Y00000X)

What Does Taxonomy Code 101Y00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101Y00000X translates to:
"Licensed & Credentialed Counselor"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (GREGORY ARNELL BARNEY, LLPC 6401010818)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
101Y00000X — Counselor
Plain English: Licensed & Credentialed Counselor
State: MI | License: 6401010818 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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