MS. DEBRA ANN NESS LPC, NCC
NPI 1477872646
Counselor - Professional in Pierre, SD

NPI Status: Active since May 26, 2010

Contact Information

803 E DAKOTA AVE
PIERRE, SD
ZIP 57501
Phone: (605) 224-5811

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  • Individual
  • Female
  • Years of Experience 23
  • Counselor
  • Professional
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About DEBRA NESS

This page provides the complete NPI Profile along with additional information for Debra Ness, a provider established in Pierre, South Dakota with a medical specialization in Counselor, focusing in professional and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1477872646 assigned on May 2010. The practitioner's primary taxonomy code is 101YP2500X with license number LPC1168 (SD). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1477872646
Provider Name
MS. DEBRA ANN NESS LPC, NCC
Gender
Female
Entity Type
Individual
Location Address
803 E DAKOTA AVE PIERRE, SD 57501
Location Phone
(605) 224-5811
Mailing Address
803 E DAKOTA AVE PIERRE, SD 57501
Mailing Phone
(605) 881-4094
Medical School Name
OTHER
Graduation Year
2004
Is Sole Proprietor?
Yes
Enumeration Date
05-26-2010
Last Update Date
06-02-2010
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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.
LPC1168
License State
SD

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
  • ConnectPlus Standard $6000 - PPO
  • ConnectPlus Standard $7500 HSA Eligible HDHP - PPO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

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

Medicare Participation & PECOS Enrollment Status

Debra Ness is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Debra Ness 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: 5395186621

    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: I20240516003637

    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? Maybe

    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 MS. DEBRA ANN NESS LPC, NCC

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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 1477872646, 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 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
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
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 7 → 14 → 5 8 → 16 → 7 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 4 + 7 + 1 + 6 + 7 + 4 + 6 + 8 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1477872646.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Counselor (Mental Health)
803 E DAKOTA AVE
PIERRE, SD 57501
Counselor (Mental Health)
803 E DAKOTA AVE
PIERRE, SD 57501
Counselor (Mental Health)
803 E DAKOTA AVE
PIERRE, SD 57501
Psychologist (Clinical)
803 E DAKOTA AVE
PIERRE, SD 57501
Counselor (Mental Health)
803 E DAKOTA AVE
PIERRE, SD 57501
Counselor (Addiction (Substance Use Disorder))
803 E DAKOTA AVE
PIERRE, SD 57501
Social Worker (Clinical)
803 E DAKOTA AVE
PIERRE, SD 57501
Counselor (Professional)
803 E DAKOTA AVE
PIERRE, SD 57501
Psychologist
803 E DAKOTA AVE
PIERRE, SD 57501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477872646, enumerated as an "individual" on May 26, 2010.

The provider is located at 803 E DAKOTA AVE PIERRE, SD 57501 and the phone number is (605) 224-5811.

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

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