MRS. SONIA JO BLY MS, DC
NPI 1245242536
Counselor - Professional in Marshall, MN

NPI Status: Active since August 13, 2006

Contact Information

1212 E COLLEGE DR
MARSHALL, MN
ZIP 56258
Phone: (507) 532-3236
Fax: (507) 532-0240

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  • Individual
  • Female
  • Years of Experience 21
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SONIA BLY

This page provides the complete NPI Profile along with additional information for Sonia Bly, a provider established in Marshall, Minnesota with a medical specialization in Counselor, focusing in professional and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1245242536 assigned on August 2006. The practitioner's primary taxonomy code is 101YP2500X with license number 00275 (MN). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1245242536
Provider Name
MRS. SONIA JO BLY MS, DC
Other Name
MISS SONIA JO JIMENEZ MS, LPC
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1212 E COLLEGE DR MARSHALL, MN 56258
Location Phone
(507) 532-3236
Location Fax
(507) 532-0240
Mailing Address
205 PRAIRIEVIEW CT MARSHALL, MN 56258
Medical School Name
OTHER
Graduation Year
2005
Is Sole Proprietor?
No
Enumeration Date
08-13-2006
Last Update Date
07-08-2007
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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.
00275
License State
MN

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
  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO
  • 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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HP58525OTHER (01)MNHEALTH PARTNERS
49412OTHER (01)MNSIOUX VALLEY HEALTH
988631045917OTHER (01)MNPREFERRED ONE
613K4BLOTHER (01)MNBLUE CROSS BLUE SHIELD

Medicare Participation & PECOS Enrollment Status

Sonia Bly 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.

Sonia Bly 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: 2860835436

    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: I20240211000066

    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 MRS. SONIA JO BLY MS, DC

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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 1245242536, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
6
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 4 → 8 2 → 4 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 8 + 5 + 4 + 4 + 4 + 5 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1245242536.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist (Clinical)
1212 E COLLEGE DR
MARSHALL, MN 56258
Psychologist (Counseling)
1212 E COLLEGE DR
MARSHALL, MN 56258
Social Worker (Clinical)
1212 E COLLEGE DR
MARSHALL, MN 56258
Social Worker (Clinical)
1212 E COLLEGE DR
MARSHALL, MN 56258
Social Worker (Clinical)
1212 E COLLEGE DR
MARSHALL, MN 56258
Registered Nurse
1212 E COLLEGE DR
MARSHALL, MN 56258
Social Worker
1212 E COLLEGE DR
MARSHALL, MN 56258
Social Worker (Clinical)
1212 E COLLEGE DR
MARSHALL, MN 56258
Psychologist (Clinical)
1212 E COLLEGE DR
MARSHALL, MN 56258
Social Worker
1212 E COLLEGE DR
MARSHALL, MN 56258
Social Worker (Clinical)
1212 E COLLEGE DR
MARSHALL, MN 56258
Counselor (Mental Health)
1212 E COLLEGE DR
MARSHALL, MN 56258
Nurse Practitioner (Psychiatric/Mental Health)
1212 E COLLEGE DR
MARSHALL, MN 56258
Social Worker (Clinical)
1212 E COLLEGE DR
MARSHALL, MN 56258
Social Worker (Clinical)
1212 E COLLEGE DR
MARSHALL, MN 56258
Social Worker (Clinical)
1212 E COLLEGE DR
MARSHALL, MN 56258
Social Worker (Clinical)
1212 E COLLEGE DR
MARSHALL, MN 56258
Counselor (Addiction (Substance Use Disorder))
1212 E COLLEGE DR
MARSHALL, MN 56258
Counselor (Addiction (Substance Use Disorder))
1212 E COLLEGE DR
MARSHALL, MN 56258
Counselor (Mental Health)
1212 E COLLEGE DR
MARSHALL, MN 56258

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245242536, enumerated as an "individual" on August 13, 2006.

The provider is located at 1212 E COLLEGE DR MARSHALL, MN 56258 and the phone number is (507) 532-3236.

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

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