MARK NICKERSON LICSW
NPI 1336159615
Counselor - Mental Health in Amherst, MA
NPI Status: Active since August 09, 2006
Contact Information
441 WEST ST
AMHERST, MA
ZIP 01002
Phone: (413) 256-0550
Fax: (413) 256-0550
- Individual
- Male
- Years of Experience 44
- Counselor
- Mental Health
- PECOS Enrolled
- Accepts Medicare Approved Payment
About MARK NICKERSON
Mark Nickerson is a provider established in Amherst, Massachusetts and his medical specialization is Counselor with a focus in mental health with more than 44 years of experience. The healthcare provider is registered in the NPI registry with number 1336159615 assigned on August 2006. The practitioner's primary taxonomy code is 101YM0800X with license number 104628 (MA). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1336159615
- Provider Name
- MARK NICKERSON LICSW
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 441 WEST ST AMHERST, MA 01002
- Location Phone
- (413) 256-0550
- Location Fax
- (413) 256-0550
- Mailing Address
- 368 MIDDLE ST AMHERST, MA 01002
- Mailing Phone
- (413) 256-0550
- Mailing Fax
- (413) 256-0550
- Medical School Name
- OTHER
- Graduation Year
- 1980
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-09-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A mental health counselor like Mark Nickerson provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Mark Nickerson 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.
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 Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 104628
- License State
- MA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Anthem Blue Cross and Blue Shield
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9450 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4725 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/8000 - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/8000 WH - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4725 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3000 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3200/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
PECOS Enrollment and Medicare Participation Status
Mark Nickerson 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: 6002840303
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: I20050926001041
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
Clinician Services
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.
- 480
Psychotherapy, 60 minutes (HCPCS:90837)
Reviews for MARK NICKERSON LICSW
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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 | 3 | 3 | 6 | 1 | 5 | 9 | 6 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 2 | 5 | 18 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 2 + 5 + 1 + 8 + 6 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1336159615 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972669588 | DR. AMANDA KAREN ROBERTS PHD Individual | Psychologist (Clinical) | 441 WEST ST AMHERST, MA 01002 (413) 253-0440 |
| 1992855548 | CHAIA CARA WOLF MSW, LICSW Individual | Social Worker (Clinical) | 441 WEST ST AMHERST, MA 01002 (413) 253-4094 |
| 1740496371 | DR. MICHAEL CHILDS PH.D. Individual | Psychologist (Cognitive & Behavioral) | 441 WEST ST SUITE C AMHERST, MA 01002 (413) 253-0800 |
| 1407984594 | SHERI WEINTRAUB LICSW Individual | Social Worker (Clinical) | 441 WEST ST AMHERST, MA 01002 (413) 345-6512 |
| 1407924244 | NANCY E GROSSMAN LIC. AC. Individual | Acupuncturist | 441 WEST ST AMHERST, MA 01002 (413) 585-1511 |
| 1326687625 | RIVER VALLEY ACUPUNCTURE Organization | Clinic/Center | 441 WEST ST AMHERST, MA 01002 (413) 585-1511 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336159615, enumerated in the NPI registry as an "individual" on August 09, 2006
The provider is located at 441 West St Amherst, Ma 01002 and the phone number is (413) 256-0550
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
The provider has more than 44 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
The most common procedures or services performed by this practitioner are: Psychotherapy, 60 minutes.
This NPI record was last updated on August 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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