LOS ANGELES COUNTY
DEPARTMENT OF MENTAL HEALTH
  Policy 106.15 Updating and Maintaining National Provider Identifier Application Data
 
  PROCEDURES
  1. Los Angeles County Department of Mental Health (DMH/Department) employees, Legal Entity (LE) employees, and Fee-For-Service (FFS) providers (individuals) that have been assigned a Type 1 National Provider Identifier (NPI) must furnish updates (changes) in their required NPI data to the National Plan and Provider Enumeration System (NPPES) within 30 days of the changes. DMH, LE organizations and FFS organizational providers that have been assigned a Type 2 NPI must also furnish updates (changes) in their required NPI data to the NPPES within 30 days of the changes.
     
    1. Required information includes:
       
      1. For Individual Providers (Type 1 NPIs)
         
        • Provider Name
        • Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN) if not eligible for SSN
        • Provider Date of Birth
        • State of Birth
        • Provider Gender
        • Mailing Address
        • Practice Location Address and Phone Number
        • Taxonomy (Provider Type)
        • State License Information (required only for certain taxonomies)
        • Contact Person Name
        • Contact Person Phone number and E-mail address
           
      2. For Organizational Providers (Type 2 NPIs)
         
        • Organization Name
        • Employer Identification Number (EIN) 
        • Name of Authorized Official for the Organization
        • Phone number of the Authorized Official for the Organization
        • Organization Mailing Address
        • Practice Location Address and Phone Number
        • Taxonomy (Provider Type)
        • Contact Person Name
        • Contact Person Phone number and E-mail address
           
    2. Access the NPPES web site.
       
    3. Per the NPPES Home Page: As a Health Care Provider, you must click on National Provider Identifier (NPI) to login or apply for an NPI.
       
    4. See: Want to View or Update your NPI data? and click on Login.
       
    5. Log in by entering your User ID followed by your password. Click on Login.
       
    6. Review the data on each screen.
       
    7. Update the information.
       
    8. For your records, print each screen as you complete your updates or review.
       
    9. Log off when completed.
       
    10. Receive confirmation of your changes. Keep this document in the event of audit.
       
  2. LE and FFS organizational providers which have been assigned an NPI must furnish updates (changes) in their required NPI data to the National Provider System within 30 days of the changes using the NPPES.
     
    1. Organizational providers will follow the same procedures listed in Section A with the exception that they will review data and update information for their organization.
       
    2. Organizational providers should review their contract to ensure changes are reported to DMH consistent with their contract.
       
  3. DMH changes in the required information (Section A.1.) shall be reported to the Compliance Program Office by the District Chief or Program Manager within 15 days of the change. The change may be reported using the Provider File Adjustment Request (PFAR).
     
    1. The Compliance Officer will follow the same procedures listed in Section A with the exception that they will review data and update information for their organization.