MICHELE N FRITZ
NPI 1366069759
Counselor - Mental Health in Aberdeen, SD

NPI Status: Active since July 01, 2020

Contact Information

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
Phone: (605) 225-1010
Fax: (605) 725-8055

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  • Individual
  • Female
  • Years of Experience 7
  • Counselor
  • Mental Health
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MICHELE FRITZ

This page provides the complete NPI Profile along with additional information for Michele Fritz, a provider established in Aberdeen, South Dakota with a medical specialization in Counselor, focusing in mental health and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1366069759 assigned on July 2020. The practitioner's primary taxonomy code is 101YM0800X with license number LPC-MH30732 (SD). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1366069759
Provider Name
MICHELE N FRITZ
Gender
Female
Entity Type
Individual
Location Address
14 S MAIN ST STE 1E ABERDEEN, SD 57401
Location Phone
(605) 225-1010
Location Fax
(605) 725-8055
Mailing Address
14 S MAIN ST STE 1E ABERDEEN, SD 57401
Mailing Phone
(605) 225-1010
Mailing Fax
(605) 725-8055
Medical School Name
OTHER
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
07-01-2020
Last Update Date
08-31-2023
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A mental health counselor like Michele Fritz 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.

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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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
LPC-MH30732
License State
SD

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)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

LPC20632 (SD)

Insurance Plans Accepted

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

  • Avera $1800 - PPO
  • Avera $2000 - PPO
  • Avera $4000 - PPO
  • Avera $4500 - PPO
  • Avera $6000 - PPO
  • Avera $7500 HSA Eligible HDHP - PPO
  • Avera $9200 - PPO
  • Avera Standard $1500 - PPO
  • Avera Standard $5000 - PPO
  • Avera Standard $7500 - PPO
  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,000 - HMO
  • Sanford Individual TRUE $7,100 HSA Qualified - HMO
  • Sanford Individual TRUE $9,200 - HMO
  • Sanford Individual TRUE Standardized $1,500 - HMO
  • Sanford Individual TRUE Standardized $5,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO
  • Wellmark Bronze HDHP EPO HSA Qualified - EPO
  • Wellmark Bronze Traditional EPO - EPO
  • Wellmark Gold Traditional EPO - EPO
  • Wellmark Silver Traditional EPO - EPO
  • Wellmark Standard Bronze EPO - EPO
  • Wellmark Standard Gold EPO - EPO
  • Wellmark Standard Silver EPO - EPO

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

Medicare Participation & PECOS Enrollment Status

Michele Fritz 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.

Michele Fritz 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: 5991158487

    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: I20240131004377

    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 MICHELE N FRITZ

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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.
1366069759
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231260618710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 0 + 6 + 1 + 8 + 7 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1366069759 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

RODNEY S JOHNSON

Counselor

(Professional)

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 225-1010

SAVANNA LARSON

Counselor

(Mental Health)

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 225-1010

TOMEE BROWN

Counselor

(Mental Health)

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 225-1010

MANDY NESS

Counselor

(Addiction (Substance Use Disorder))

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 225-1010

TAYLOR A PETERSEN

Counselor

(Mental Health)

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 225-1010

JENIFER R TOENNIES

Counselor

(Mental Health)

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 225-1010

DANIELLE M LARSON

Counselor

(Mental Health)

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 225-1010

SHARON D KISSICK

Counselor

(Mental Health)

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 225-1010

AMY A TRUJILLO

Social Worker

(Clinical)

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 225-1010

ALYSSA CHASE

Counselor

(Professional)

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 225-1010

CHRISTINA B SHILMAN

Counselor

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 225-1010

KRISTINE WENSMANN

Counselor

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 725-4956

RAQUEL M BALL

Counselor

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 225-1010

RYAN SIME

Counselor

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 225-1010

AUTUMN M NEIGEL

Counselor

(Mental Health)

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 225-1010

LATONYA C.M. GAGE

Social Worker

(Clinical)

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 225-1010

CASSANDRA M MAILLET

Counselor

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 225-1010

JAMIE L DETTLER

Counselor

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 225-1010

MADALYN PEDERSON

Counselor

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 225-1010

DREENA WERTZ

Counselor

(Professional)

14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401

(605) 725-4956

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366069759, enumerated as an "individual" on July 01, 2020.

The provider is located at 14 S MAIN ST STE 1E ABERDEEN, SD 57401 and the phone number is (605) 225-1010.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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