NATIONAL PROVIDER IDENTIFIER (NPI) - ALCOHOL & DRUG PROGRAMS - INDIVIDUAL PROVIDER INSTRUCTIONS AND INFORMATION

Sep 19, 2026

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Instructions explain how individuals and organizations should obtain and use National Provider Identifier (NPI) numbers for Alcohol & Drug Programs. It defines two NPI types: Type 1 for individual direct-service staff and Type 2 for organizational providers, and states both must be included on Medi-Cal, Medicare, and insurance claims. The guide covers application steps via the NPPES website, reporting requirements to ACBHCS Provider Relations, and relevant taxonomy code examples for individual providers.

LanguageEnglish

CategoryLetters

FormatPDF

Pages9

Reading Time3 min

AccessFree to download

How to Apply

WEB Site Information

How to Report

Taxonomy Codes

# NATIONAL PROVIDER IDENTIFIER (NPI)ALCOHOL &DRUG PROGRAMSINDIVIDUAL PROVIDER INSTRUCTIONS AND INFORMATION The NPI is a ten digit number assigned to you or your organization by the Federal Government Center forMedicare and Medicaid Services(CMS)using the National Plan &Provider Enumeration System(NPPES). There are two (2)types of National Provider Identifiers: Tvpe 1Individual NPI:An NPI number is assigned to physicians,psychologists,psychiatrists,counselors,dentists,nurses,chiropractors,and others.All individual staff persons whoprovide direct services to clients,that is,services where the client is identified,mustobtain an NPI.Alameda County Behavioral Health Care Services,as directed by theCalifornia Department of Alcohol and Drug Programs,is requiring all staff to apply for aType 1 NPI,obtain the number and submit a copy of the NPI confirmation notice toProvider Relations as soon as possible.This identifier will remain with the individual fortheir entire career and can be used across all county plans or health care entities. Type 2Organizational NPI:Organizations such as Mental Health providers are required by lawto obtain at a minimum one Organizational NPI.The California Department of Alcoholand Drug Programs is requiring all providers to obtain one Type 2 NPI for every Medi-Cal provider number assigned to their organization.NOTE:Your agencv administratorwill obtain the organizational NPI number(s),the individual provider is responsible forobtaining their own Type /NPI number. Both NPI types must be included on all health care claims to Medi-Cal.Medicare and Insurance carriers afierMay 23,2007 In order for ACBHCS to avoid delays in our established claiming schedule,we will need to receive vourType 1 and Type 2 NPIs by June 1,2007. We encourage organizations to assist their staff in obtaining and reporting the individual NPI numbers toACBHCS Provider Relations.In reporting to Provider Relations please include,InSyst staff number,staff name,NPI number and taxonomy code. ## How to Apply Use the NPI website:https://nppes.cms.hhs.gov. This is the fastest method to apply and will result in a return e-mail from the NPPES web site as confirmation ofthe NPI number.Do not use the mail in application.If you anticipate any difficultly in accessing this web site,please request assistance from your manager or call Provider Relations at 1(800)878-1313. ## WEB Site Information We have included several pages from the NPPES web site for your reference.The step by step web siteinstructions willguide you through the navigation of pages.Here are a few of our comments on the screenprints attached. ● Page 1 At the main entry screen click on the first line,Health Care Provider.The other link,the NationalProvider Identifier,is not activated. ·Page 2 This page also has a link to the Tips(page 3)we suggest you read the Tips on page 3 of theNPPES screen prints.I would especially point out the tip*Do NOT use the browser's button BACKand FORWARD,these functions will kick you off of the application.If this happens,log back on andenter the password you created to resume your input.This page also has Additional Resourceinformation.This is also the point of reentry if you need to view your completed application to makechanges or corrections.This page has the link to begin the application process,click on Applv Online ·Page 4 We suggest you read the NPI Application Instructions before proceeding to ensure you have allthe required information available to complete the application.At the end of this page you willbegin the application process. ·Page 5 You will be required to set up a User ID,password,and secret question with an answer.Wesuggest you print out this page and each completed page of the application during the applicationprocess for your records. ·Page 6.Individuals-Be aware that the contact information on the NPI application will be the person towhom the confirmation notice is e-mailed,please indicate yourself as th

FAQs

What is an NPI and who assigns it?

An NPI is a ten-digit number assigned by the Federal Government through CMS using the National Plan & Provider Enumeration System (NPPES). It is assigned to individuals or organizations.

What is the difference between Type 1 and Type 2 NPI?

Type 1 is for individual providers who deliver direct services, and the NPI remains with the individual for their entire career. Type 2 is organizational and is required for organizations to obtain at least one NPI for each Medi-Cal provider number.

How should providers report NPI information to ACBHCS Provider Relations?

Provide a copy of the confirmation notice to Provider Relations via email, mail, or fax, and include your InSyst (PSP) staff number, name, NPI, and taxonomy code. ACBHCS will enter the NPI into InSyst so it appears on HIPAA compliant claims.

Sep 19, 2026

Upload by Xiajie