MR. JOHN DOUGLAS SIMS III PLADC
NPI 1326728429
Counselor - Addiction (Substance Use Disorder) in Omaha, NE
NPI Status: Active since July 24, 2023
- Individual
- Male
- Counselor
- Addiction (Substance Use Disorder)
- Accepts Insurance
- PECOS Enrolled
About JOHN SIMS
This page provides the complete NPI Profile along with additional information for John Sims, a provider established in Omaha, Nebraska with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1326728429 assigned on July 2023. The practitioner's primary taxonomy code is 101YA0400X with license number P-2034 (NE). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1326728429
- Provider Name
- MR. JOHN DOUGLAS SIMS III PLADC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9623 M ST OMAHA, NE 68127
- Location Phone
- (531) 999-6004
- Mailing Address
- 1650 S TOPAZ WAY MERIDIAN, ID 83642
- Mailing Phone
- (208) 605-7070
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-24-2023
- Last Update Date
- 04-22-2024
- Code Navigator
A Substance Abuse or Addiction Counselor like John Sims 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.
Location Map
Secondary Locations
- 8710 Frederick St Ste 100
Omaha, NE 68124
(531) 201-6890 - 7215 Ontario St
Omaha, NE 68124
(531) 999-7120 - PO Box 541213
Omaha, NE 68154
(402) 609-8548 - 200 S 31st Ave
Omaha, NE 68131
(402) 847-4111
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.
- P-2034
- License State
- NE
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
John Sims 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: 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
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
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 MR. JOHN DOUGLAS SIMS III PLADC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1326728429, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
OMAHA, NE 68127
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326728429, enumerated as an "individual" on July 24, 2023.
The provider is located at 9623 M ST OMAHA, NE 68127 and the phone number is (531) 999-6004.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska. Please consult your insurance carrier or call the provider to verify.
