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
- 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
- Code Navigator
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.
Location Map
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) |
---|---|---|---|---|
1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
2 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 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. | |||||||||
1 | 3 | 6 | 6 | 0 | 6 | 9 | 7 | 5 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 12 | 6 | 0 | 6 | 18 | 7 | 10 | |
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 = 9 | 9 |
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
SAVANNA LARSON
Counselor
(Mental Health)
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
TOMEE BROWN
Counselor
(Mental Health)
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
MANDY NESS
Counselor
(Addiction (Substance Use Disorder))
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
TAYLOR A PETERSEN
Counselor
(Mental Health)
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
JENIFER R TOENNIES
Counselor
(Mental Health)
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
DANIELLE M LARSON
Counselor
(Mental Health)
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
SHARON D KISSICK
Counselor
(Mental Health)
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
AMY A TRUJILLO
Social Worker
(Clinical)
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
ALYSSA CHASE
Counselor
(Professional)
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
CHRISTINA B SHILMAN
Counselor
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
KRISTINE WENSMANN
Counselor
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
RAQUEL M BALL
Counselor
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
RYAN SIME
Counselor
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
AUTUMN M NEIGEL
Counselor
(Mental Health)
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
LATONYA C.M. GAGE
Social Worker
(Clinical)
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
CASSANDRA M MAILLET
Counselor
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
JAMIE L DETTLER
Counselor
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
MADALYN PEDERSON
Counselor
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
DREENA WERTZ
Counselor
(Professional)
14 S MAIN ST STE 1E
ABERDEEN, SD
ZIP 57401
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.