SUSANNE J. EDISON-HARRIS LPC-MH, QMHP, LAC
NPI 1063678811
Counselor - Addiction (Substance Use Disorder) in Sioux Falls, SD
NPI Status: Active since July 31, 2008
Contact Information
4109 S CARNEGIE CIR
SIOUX FALLS, SD
ZIP 57106
Phone: (605) 331-2419
Fax: (605) 789-8026
- Individual
- Female
- Counselor
- Addiction (Substance Use Disorder)
- Accepts Insurance
- Opted-Out Medicare
About SUSANNE EDISON-HARRIS
This page provides the complete NPI Profile along with additional information for Susanne Edison-harris, a provider established in Sioux Falls, South Dakota with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1063678811 assigned on July 2008. The practitioner's primary taxonomy code is 101YA0400X with license number 04091200 (SD). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1063678811
- Provider Name
- SUSANNE J. EDISON-HARRIS LPC-MH, QMHP, LAC
- Other Name
- SUSANNE J. HARRIS
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4109 S CARNEGIE CIR SIOUX FALLS, SD 57106
- Location Phone
- (605) 331-2419
- Location Fax
- (605) 789-8026
- Mailing Address
- 4109 S CARNEGIE CIR SIOUX FALLS, SD 57106
- Mailing Phone
- (605) 331-2419
- Mailing Fax
- (605) 789-8026
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-31-2008
- Last Update Date
- 11-30-2018
- Code Navigator
A Substance Abuse or Addiction Counselor like Susanne Edison-harris advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Susanne Edison-harris opted out of Medicare effective on 09-26-2024 until 09-26-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
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 Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 04091200
- License State
- SD
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) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | LPC1115 (SD) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- ConnectPlus $0 Gold - PPO
- ConnectPlus $0 Silver - PPO
- ConnectPlus $10,600 HSA Eligible HDHP - PPO
- ConnectPlus $1800 - PPO
- ConnectPlus $4500 - PPO
- ConnectPlus $6500 HSA Eligible HDHP - PPO
- ConnectPlus $7500 HSA Eligible HDHP - PPO
- ConnectPlus MyWeighForward $2000 - PPO
- ConnectPlus MyWeighForward $6000 - PPO
- ConnectPlus Standard $2000 - PPO
- ConnectPlus Standard $6000 - PPO
- ConnectPlus Standard $7500 HSA Eligible HDHP - PPO
- DirectConnect $0 Gold - HMO
- DirectConnect $0 Silver - HMO
- DirectConnect $1800 - HMO
- DirectConnect $4500 - HMO
- DirectConnect $6500 HSA Eligible HDHP - HMO
- DirectConnect $7500 HSA Eligible HDHP - HMO
- DirectConnect MyWeighForward $2000 - HMO
- DirectConnect MyWeighForward $6000 - HMO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $10,600 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,500 - HMO
- Sanford Individual TRUE $7,200 HSA Qualified - HMO
- Sanford Individual TRUE Standardized $2,000 - HMO
- Sanford Individual TRUE Standardized $6,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
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.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 09-26-2024
Opt-Out End Date: 09-26-2026
Eligible to Order and Refer? No
Reviews for SUSANNE J. EDISON-HARRIS LPC-MH, QMHP, LAC
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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 1063678811, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
SIOUX FALLS, SD 57106
SIOUX FALLS, SD 57106
SIOUX FALLS, SD 57106
SIOUX FALLS, SD 57106
SIOUX FALLS, SD 57106
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063678811, enumerated as an "individual" on July 31, 2008.
The provider is located at 4109 S CARNEGIE CIR SIOUX FALLS, SD 57106 and the phone number is (605) 331-2419.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
The provider might be accepting Accepts: Avera Health Plans and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.
