SUSAN M SIMIANER MA
NPI 1578968020
Counselor - Mental Health in Delta, CO
NPI Status: Active since October 27, 2014
Contact Information
555 MEEKER
DELTA COUNTY MEMORIAL HOSPITAL FAMILY MEDICINE
DELTA, CO
ZIP 81416
Phone: (970) 874-5777
Fax: (970) 874-1631
- Individual
- Female
- Counselor
- Mental Health
- Accepts Insurance
- PECOS Enrolled
About SUSAN SIMIANER
This page provides the complete NPI Profile along with additional information for Susan Simianer, a provider established in Delta, Colorado with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1578968020 assigned on October 2014. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1578968020
- Provider Name
- SUSAN M SIMIANER MA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 555 MEEKER DELTA COUNTY MEMORIAL HOSPITAL FAMILY MEDICINE DELTA, CO 81416
- Location Phone
- (970) 874-5777
- Location Fax
- (970) 874-1631
- Mailing Address
- 2233 E MAIN ST BUSINESS OPTIONS MEDICAL BILLING MONTROSE, CO 81401
- Mailing Phone
- (970) 765-0818
- Mailing Fax
- (970) 497-8410
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-27-2014
- Last Update Date
- 11-05-2015
- Code Navigator
A mental health counselor like Susan Simianer 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
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic - EPO
- Bronze Classic | with Bryan Health - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard | with Bryan Health - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus | with Bryan Health - EPO
- Bronze Simple Diabetes - EPO
- Bronze Simple Diabetes | with Bryan Health - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard | with Bryan Health - EPO
- Gold Elite - EPO
- Gold Elite | with Bryan Health - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard | with Bryan Health - EPO
- Silver Simple Diabetes - EPO
- Silver Simple Diabetes | with Bryan Health - EPO
- Silver Simple PCP Saver - EPO
- Silver Simple PCP Saver | with Bryan Health - EPO
- Silver Simple Women's Health with Menopause Benefits - EPO
- Silver Simple Women's Health with Menopause Benefits | with Bryan Health - EPO
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Susan Simianer 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
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
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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 1578968020, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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 70 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578968020, enumerated as an "individual" on October 27, 2014.
The provider is located at 555 MEEKER DELTA COUNTY MEMORIAL HOSPITAL FAMILY MEDICINE DELTA, CO 81416 and the phone number is (970) 874-5777.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Oscar Insurance Company and Providence Health Plan. Please consult your insurance carrier or call the provider to verify.
