KIMBERLY HINRICHS LMSW
NPI 1205287471
Social Worker - Clinical in Boise, ID

NPI Status: Active since June 28, 2016

Contact Information

5185 W OVERLAND RD
BOISE, ID
ZIP 83705
Phone: (208) 724-8581

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Years of Experience 11
Social Worker
Clinical
Accepts Insurance
Accepts Medicare Approved Payment
PECOS Enrolled

About KIMBERLY HINRICHS

This page provides the complete NPI Profile along with additional information for Kimberly Hinrichs, a provider established in Boise, Idaho with a medical specialization in Social Worker, focusing in clinical and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1205287471 assigned on June 2016. The practitioner's primary taxonomy code is 1041C0700X with license number LMSW 35027 (ID). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI: 1205287471
Provider Name: KIMBERLY HINRICHS LMSW
Gender: Female
Entity Type: Individual
Location Address: 5185 W OVERLAND RD BOISE, ID 83705
Location Phone: (208) 724-8581
Mailing Address: 6235 W EDGEWATER DR BOISE, ID 83709
Mailing Phone: (208) 724-8581
Medical School Name: OTHER
Graduation Year: 2015
Is Sole Proprietor?: Yes
Enumeration Date: 06-28-2016
Last Update Date: 06-28-2016
Code Navigator

A clinical social worker like Kimberly Hinrichs is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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: Social Worker Clinical
Taxonomy Code: 1041C0700X
Type: Behavioral Health & Social Service Providers
License No.: LMSW 35027
License State: ID
Taxonomy Description: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

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	101Y00000X	Behavioral Health & Social Service Providers	Counselor	LMSW 35027 (ID)
2	101YA0400X	Behavioral Health & Social Service Providers	Counselor Addiction (Substance Use Disorder)	LMSW 35027 (ID)
3	101YM0800X	Behavioral Health & Social Service Providers	Counselor Mental Health	LMSW 35027 (ID)
4	104100000X	Behavioral Health & Social Service Providers	Social Worker	LMSW 35027 (ID)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Moda Health Plan, Inc.

Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
Moda Select Bronze HDHP 7500 - EPO
Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - EPO
Moda Select Texas Standard Bronze - EPO
Moda Select Texas Standard Gold - EPO
Moda Select Texas Standard Silver - EPO

Mountain Health CO-OP

Connect Bronze Expanded Standard - PPO
Connect Bronze HDHP - PPO
Connect Catastrophic - PPO
Connect Gold - PPO
Connect Gold Standard - PPO
Connect Silver - PPO
Connect Silver Standard - PPO
High Plains Bronze HDHP - PPO
High Plains Bronze Standard Expanded - PPO
High Plains Gold - PPO
High Plains Gold HDHP - PPO
High Plains Gold Standard - PPO
High Plains Silver - PPO
High Plains Silver Standard - PPO
Plus Bronze Expanded - PPO
Plus Bronze Standard Expanded - PPO
Plus Gold - PPO
Plus Gold Standard - PPO
Plus Silver Standard - PPO
ACCESS BRONZE - PPO

PacificSource Health Plans

Navigator Bronze 7000 Exchange - PPO
Navigator Bronze 9200 - PPO
Navigator Bronze HSA 8050 - PPO
Navigator Gold 1500 - PPO
Navigator Gold 1500 Exchange - PPO
Navigator Gold 500 Exchange - PPO
Navigator Silver 3500 Exchange - PPO
Navigator Silver 4000 Exchange - PPO
Navigator Silver 5000 - PPO
Navigator Silver HSA 3500 - PPO
Navigator Standard Expanded Bronze - PPO
Navigator Standard Gold - PPO
Navigator Standard Silver - PPO
PacificSource Oregon Standard Bronze Plan NAV - PPO
PacificSource Oregon Standard Gold Plan NAV - PPO
PacificSource Oregon Standard Silver Plan NAV - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Kimberly Hinrichs is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kimberly Hinrichs is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

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.

Is the provider registered in PECOS? Yes
PECOS PAC ID: 6204169535
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20190531000914
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $16.44 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 83705 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

Average New Patient Price $0
Minimum New Patient Price $52.44
Maximum New Patient Price $160.17

Average New Patient Copayment $0
Minimum New Patient Copayment $13.11
Maximum New Patient Copayment $40.04

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $65.77
Minimum Established Patient Price $16.68
Maximum Established Patient Price $130.93

Average Established Patient Copayment $16.44
Minimum Established Patient Copayment $4.17
Maximum Established Patient Copayment $32.73

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	0	5	2	8	7	4	7	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	0	5	4	8	14	4	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 4 + 8 + 1 + 4 + 4 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1									1

The NPI number 1205287471 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 8 providers are registered at the same or nearby location.

MR. ANTHONY GRANT HALL M.COUN., L.P.C.

Counselor

(Mental Health)