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SANDRA JO MATHIS
NPI 1053183418
Counselor in Yankton, SD

Active since October 27, 2023PECOS EnrolledAccepts Medicare Assignment
610 W 23RD ST STE 5, YANKTON, SD 57078(605) 204-6646 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2024, Oct 27, 2023 (2 updates tracked since 2023).

About Sandra Jo Mathis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA JO MATHIS (NPI 1053183418) is an individual counselor in Yankton, South Dakota and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1053183418
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSANDRA JO MATHIS
Location Address610 W 23RD ST STE 5Yankton, SD 57078-1209
Mailing Address610 W 23rd St Ste 5Yankton, SD 57078-1209 · (605) 204-6646
Phone(605) 204-6646
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateOctober 27, 2023
Last NPPES UpdateNovember 21, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1053183418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
610 W 23RD ST STE 5, Yankton, SD 57078
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Sanford Health Plan, Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra Jo Mathis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597208181
PECOS Enrollment IDI20240624004480
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sandra Mathis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rising Hope Counseling, LLC
180 mi
Mental Health
420 S HENRY ST
Pierre, SD 57501
  • Reassigned Medicare billing, South Dakota enrollment
  • 56 clinicians in this Medicare group
NPI 1780190967 (605) 494-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Mathis's NPI number?

The NPI number for Sandra Mathis is 1053183418. It was assigned to this individual provider in the NPPES registry on October 27, 2023.

Where is Sandra Mathis located?

Sandra Mathis practices at 610 W 23rd St Ste 5, Yankton, SD 57078. The listed phone number is (605) 204-6646.

What is Sandra Mathis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Sandra Mathis enrolled in Medicare?

Yes. Sandra Mathis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sandra Mathis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Mathis reassigns Medicare benefits to Rising Hope Counseling, LLC (Pierre, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Mathis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Mathis accept?

Health plans from Avera Health Plans, Sanford Health Plan and Wellmark of South Dakota, Inc. list Sandra Mathis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sandra Mathis was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.