MS. SAMONIA LYNN ETHERIDGE LPC
NPI 1619014891
Counselor - Professional in Vicksburg, MS

NPI Status: Active since January 30, 2007

Contact Information

1414 CHERRY ST
VICKSBURG, MS
ZIP 39180
Phone: (601) 636-5703
Fax: (601) 636-5739

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  • Individual
  • Female
  • Years of Experience 25
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SAMONIA ETHERIDGE

This page provides the complete NPI Profile along with additional information for Samonia Etheridge, a provider established in Vicksburg, Mississippi with a medical specialization in Counselor, focusing in professional and more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1619014891 assigned on January 2007. The practitioner's primary taxonomy code is 101YP2500X with license number 1046 (MS). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1619014891
Provider Name
MS. SAMONIA LYNN ETHERIDGE LPC
Gender
Female
Entity Type
Individual
Location Address
1414 CHERRY ST VICKSBURG, MS 39180
Location Phone
(601) 636-5703
Location Fax
(601) 636-5739
Mailing Address
1414 CHERRY ST VICKSBURG, MS 39180
Mailing Phone
(601) 636-5703
Mailing Fax
(601) 636-5739
Medical School Name
OTHER
Graduation Year
2001
Is Sole Proprietor?
No
Enumeration Date
01-30-2007
Last Update Date
07-08-2007
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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.
1046
License State
MS

Insurance Plans Accepted

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

  • Connect Bronze 5500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 6500 Indiv Med Deductible - EPO
  • Connect Bronze 8500 Indiv Med Deductible - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold 2000 Indiv Med Deductible - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 3800 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Silver 4000 Indiv Med Deductible - EPO
  • Connect Silver 6500 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - EPO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage ($5 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Gold Value ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Value+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

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

Medicare Participation & PECOS Enrollment Status

Samonia Etheridge 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.

Samonia Etheridge 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: 42650756

    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: I20240429002233

    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 MS. SAMONIA LYNN ETHERIDGE LPC

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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.
1619014891
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2629018818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 0 + 1 + 8 + 8 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1619014891 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

MR. WALTER LEE FRAZIER MCP, LPC, NCC

Counselor

(Professional)

1414 CHERRY ST
VICKSBURG, MS
ZIP 39180

(601) 636-5703

ANNA MARSH M.S.

Counselor

(Professional)

1414 CHERRY ST
VICKSBURG, MS
ZIP 39180

(601) 636-5703

MRS. KATHRYN WRIGHT LPC

Counselor

(Professional)

1414 CHERRY ST
VICKSBURG, MS
ZIP 39180

(601) 636-5703

HAROLD MELANCON LPC

Counselor

(Professional)

1414 CHERRY ST
VICKSBURG, MS
ZIP 39180

(601) 636-5703

MRS. CHANEY CARLUCCI LPC

Counselor

(Professional)

1414 CHERRY ST
VICKSBURG, MS
ZIP 39180

(601) 636-5703

GRACE CHRISTIAN COUNSELING CENTER

Counselor

(Professional)

1414 CHERRY ST
VICKSBURG, MS
ZIP 39180

(601) 636-5703

JAYME SULLIVAN LPC

Counselor

(Professional)

1414 CHERRY ST
VICKSBURG, MS
ZIP 39180

(601) 636-5703

LINDA S TELLO LMFT

Marriage & Family Therapist

1414 CHERRY ST
VICKSBURG, MS
ZIP 39180

(601) 636-5703

STACI FLORIE WIGELSWORTH M.ED., NCC, P-LPC

Counselor

1414 CHERRY ST
VICKSBURG, MS
ZIP 39180

(601) 636-5703

CANDACE STRONG M.A., P-LPC

Counselor

1414 CHERRY ST
VICKSBURG, MS
ZIP 39180

(601) 636-5703

TAMMANI TREVILLION LPC

Counselor

(Mental Health)

1414 CHERRY ST
VICKSBURG, MS
ZIP 39180

(601) 636-5703

ALEXIS LACHLAN MURRELL P-LPC

Counselor

1414 CHERRY ST
VICKSBURG, MS
ZIP 39180

(601) 636-5703

KRISTY G ROBERTSON P-LPC

Counselor

1414 CHERRY ST
VICKSBURG, MS
ZIP 39180

(601) 636-5703

DION ADKINS

Counselor

(Mental Health)

1414 CHERRY ST
VICKSBURG, MS
ZIP 39180

(601) 636-5703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619014891, enumerated as an "individual" on January 30, 2007.

The provider is located at 1414 CHERRY ST VICKSBURG, MS 39180 and the phone number is (601) 636-5703.

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

The provider might be accepting Accepts: Cigna Healthcare and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.