PAUL CHARLERS RITTER LPC
NPI 1215099544
Counselor - Professional in Sioux Falls, SD

NPI Status: Active since December 14, 2006

Contact Information

2210 S BROWN PL
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 336-1974
Fax: (605) 336-9031

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  • Individual
  • Male
  • Years of Experience 35
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About PAUL RITTER

This page provides the complete NPI Profile along with additional information for Paul Ritter, a provider established in Sioux Falls, South Dakota with a medical specialization in Counselor, focusing in professional and more than 35 years of experience. The healthcare provider is registered in the NPI registry with number 1215099544 assigned on December 2006. The practitioner's primary taxonomy code is 101YP2500X with license number LPC 839 (SD). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1215099544
Provider Name
PAUL CHARLERS RITTER LPC
Gender
Male
Entity Type
Individual
Location Address
2210 S BROWN PL SIOUX FALLS, SD 57105
Location Phone
(605) 336-1974
Location Fax
(605) 336-9031
Mailing Address
2210 S BROWN PL SIOUX FALLS, SD 57105
Mailing Phone
(605) 336-1974
Mailing Fax
(605) 336-9031
Medical School Name
OTHER
Graduation Year
1991
Is Sole Proprietor?
No
Enumeration Date
12-14-2006
Last Update Date
03-08-2012
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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 Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
LPC 839
License State
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
  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO
  • 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

Paul Ritter 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.

Paul Ritter 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: 5092157537

    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: I20240529002032

    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

Reviews for PAUL CHARLERS RITTER LPC

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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 1215099544, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 0 → 0 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 0 + 9 + 1 + 8 + 5 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1215099544.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
2210 S BROWN PL
SIOUX FALLS, SD 57105
Psychologist
2210 S BROWN PL
SIOUX FALLS, SD 57105
Counselor (Mental Health)
2210 S BROWN PL
SIOUX FALLS, SD 57105
Counselor (Mental Health)
2210 S BROWN PL
SIOUX FALLS, SD 57105
Counselor (Mental Health)
2210 S BROWN PL
SIOUX FALLS, SD 57105
Counselor (Mental Health)
2210 S BROWN PL
SIOUX FALLS, SD 57105
Counselor (Mental Health)
2210 S BROWN PL
SIOUX FALLS, SD 57105
Counselor (Mental Health)
2210 S BROWN PL
SIOUX FALLS, SD 57105
Clinic/Center (Adult Mental Health)
2210 S BROWN PL
SIOUX FALLS, SD 57105
Social Worker (Clinical)
2210 S BROWN PL
SIOUX FALLS, SD 57105
Social Worker
2210 S BROWN PL
SIOUX FALLS, SD 57105
Social Worker (Clinical)
2210 S BROWN PL
SIOUX FALLS, SD 57105
Counselor (Mental Health)
2210 S BROWN PL
SIOUX FALLS, SD 57105
Counselor (Mental Health)
2210 S BROWN PL
SIOUX FALLS, SD 57105
Counselor (Mental Health)
2210 S BROWN PL
SIOUX FALLS, SD 57105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215099544, enumerated as an "individual" on December 14, 2006.

The provider is located at 2210 S BROWN PL SIOUX FALLS, SD 57105 and the phone number is (605) 336-1974.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Avera Health Plans, Providence Health Plan and. Please consult your insurance carrier or call the provider to verify.