MR. KERRY JOHN SOPOCI PSYD
NPI 1639129539
Counselor in Duluth, MN

NPI Status: Active since May 11, 2006

Contact Information

220 N 6TH AVE E
DULUTH, MN
ZIP 55805
Phone: (218) 249-7000

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

About KERRY SOPOCI

This page provides the complete NPI Profile along with additional information for Kerry Sopoci, a provider established in Duluth, Minnesota with a medical specialization in Counselor and more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1639129539 assigned on May 2006. The practitioner's primary taxonomy code is 101Y00000X with license number LP4446 (MN). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1639129539
Provider Name
MR. KERRY JOHN SOPOCI PSYD
Gender
Male
Entity Type
Individual
Location Address
220 N 6TH AVE E DULUTH, MN 55805
Location Phone
(218) 249-7000
Mailing Address
220 N 6TH AVE E DULUTH, MN 55805
Mailing Phone
(218) 249-7000
Medical School Name
OTHER
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
05-11-2006
Last Update Date
01-19-2021
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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

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
License No.
LP4446
License State
MN
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Insurance Plans Accepted

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

  • Premier $2,000 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,000 - 50% - HMO
  • Premier $5,000 HDHP - HMO
  • Premier $6,000 - 40% - HMO
  • Premier $7,500 - HMO
  • Premier $7,500 HDHP - HMO
  • Premier HMO $1,500 - 30% - HMO
  • Premier HMO $2,500 - 20% Copay - HMO
  • Premier HMO $3,400 - 30% HDHP - HMO
  • Premier HMO $3,500 - 30% - HMO
  • Premier HMO $3,500 HDHP - HMO
  • Premier HMO $4,000 - 20% HDHP - HMO
  • Premier HMO $5,000 - 20% HDHP - HMO
  • Premier HMO $5,500 - 40% Copay - HMO
  • Premier HMO $7,500 HDHP - HMO
  • Premier HMO $750 - 10% - HMO
  • Premier HMO $9,500 - HMO
  • Premier POS $1,500 - 30% - POS
  • Premier POS $2,500 - 20% Copay - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
797625900MEDICAID (05)MN 

Medicare Participation & PECOS Enrollment Status

Kerry Sopoci 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.

Kerry Sopoci 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: 8820262819

    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: I20111201000613

    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

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Psychotherapy, 45 minutes

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

This service was performed 57 times for 14 patients

Psychotherapy, 45 minutes

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

This service was performed 183 times for 23 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kerry Sopoci is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST LUKES HOSPITAL915 EAST 1ST STREET
DULUTH, MN 55805
(218) 249-2449Acute Care Hospitals

Reviews for MR. KERRY JOHN SOPOCI PSYD

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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 1639129539, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
9
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 3 → 6 1 → 2 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 2 + 2 + 1 + 8 + 5 + 6 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1639129539.

Other Providers at the Same Location


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

Counselor
220 N 6TH AVE E
DULUTH, MN 55805
Counselor
220 N 6TH AVE E
DULUTH, MN 55805
Clinical Neuropsychologist
220 N 6TH AVE E
DULUTH, MN 55805
Counselor
220 N 6TH AVE E
DULUTH, MN 55805
Counselor
220 N 6TH AVE E
DULUTH, MN 55805
Counselor
220 N 6TH AVE E
DULUTH, MN 55805
Counselor
220 N 6TH AVE E
DULUTH, MN 55805
Psychologist
220 N 6TH AVE E
DULUTH, MN 55805
Nurse Practitioner
220 N 6TH AVE E
DULUTH, MN 55805
Psychiatry & Neurology (Psychiatry)
220 N 6TH AVE E
DULUTH, MN 55805
Nurse Practitioner (Psychiatric/Mental Health)
220 N 6TH AVE E
DULUTH, MN 55805
Social Worker (Clinical)
220 N 6TH AVE E
DULUTH, MN 55805
Psychologist (Counseling)
220 N 6TH AVE E
DULUTH, MN 55805
Psychologist
220 N 6TH AVE E
DULUTH, MN 55805
Social Worker (Clinical)
220 N 6TH AVE E
DULUTH, MN 55805
Psychologist
220 N 6TH AVE E
DULUTH, MN 55805
Psychiatry & Neurology (Psychiatry)
220 N 6TH AVE E
DULUTH, MN 55805
Psychiatry & Neurology (Psychiatry)
220 N 6TH AVE E
DULUTH, MN 55805
Social Worker (Clinical)
220 N 6TH AVE E
DULUTH, MN 55805
Nurse Practitioner (Psychiatric/Mental Health)
220 N 6TH AVE E
DULUTH, MN 55805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639129539, enumerated as an "individual" on May 11, 2006.

The provider is located at 220 N 6TH AVE E DULUTH, MN 55805 and the phone number is (218) 249-7000.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Security Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Kerry Sopoci is affiliated with: ST LUKES HOSPITAL.