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MRS. JULIE BIRNER MS, LCSWPIP,QMHP,LAC
NPI 1801279807
Psychologist - Addiction (Substance Use Disorder) in Rapid City, SD

Active since July 08, 2015PECOS EnrolledAccepts Medicare Assignment
1520 HAINES AVE STE 6, RAPID CITY, SD 57701(605) 716-7841(605) 718-0404 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2024, Oct 19, 2023 (2 updates tracked since 2023).

About Mrs. Julie Birner Ms, Lcswpip,qmhp,lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JULIE BIRNER MS, LCSWPIP,QMHP,LAC (NPI 1801279807) is an individual addiction (substance use disorder) provider in Rapid City, South Dakota, licensed in South Dakota (9703943) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1801279807
Entity TypeIndividualFemale
Primary Taxonomy103TA0400X
Provider Legal NameMRS. JULIE BIRNERCredential: MS, LCSWPIP,QMHP,LAC
Location Address1520 HAINES AVE STE 6Rapid City, SD 57701-0710
Mailing Address1520 Haines Ave Ste 6Rapid City, SD 57701-0710 · (605) 716-7841 · Fax (605) 718-0404
Phone(605) 716-7841
Fax(605) 718-0404
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 8, 2015
Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration
✔ NPI 1801279807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
License✔ Licensed in SD · 9703943
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedSocial WorkerTaxonomy 104100000X · License 6602 (SD)
1520 HAINES AVE STE 6, Rapid City, SD 57701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare, Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Julie Birner Ms, Lcswpip,qmhp,lac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567902737
PECOS Enrollment IDI20241024003727
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Julie Birner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addiction Recovery Centers Of The Black Hills
Same address
Community/Behavioral Health
1520 HAINES AVE
Rapid City, SD 57701
  • Reassigned Medicare billing, South Dakota enrollment
  • 2 clinicians in this Medicare group
NPI 1295878205 (605) 716-7841

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LANNA M BACKEN BS ACT
Counselor (Addiction (Substance Use Disorder))
1520 HAINES AVE STE 6
RAPID CITY, SD 57701
Meade County (605) 716-7841
MS. COLLEEN BETH ZIMMERMAN MSW,CSW,LAC, QMHP
Counselor (Addiction (Substance Use Disorder))
1520 HAINES AVE STE 6
RAPID CITY, SD 57701
Meade County (605) 716-7841
STACEY CURNS BS ACT
Counselor (Addiction (Substance Use Disorder))
1520 HAINES AVE STE 6
RAPID CITY, SD 57701
Meade County (605) 716-7841
TYLER ROSE O'SULLIVAN BS ACT
Counselor (Addiction (Substance Use Disorder))
1520 HAINES AVE STE 6
RAPID CITY, SD 57701
Meade County (605) 716-7841
NATASHA FRASIER ACT
Psychologist (Addiction (Substance Use Disorder))
1520 HAINES AVE STE 6
RAPID CITY, SD 57701
Meade County (605) 716-7841
MRS. DIANNA BOYLE MS,LPC,NCC,CEAP,LAC
Psychologist (Addiction (Substance Use Disorder))
1520 HAINES AVE STE 6
RAPID CITY, SD 57701
Meade County (605) 716-7841
CHARISSE ROLA ACT
Psychologist (Addiction (Substance Use Disorder))
1520 HAINES AVE STE 6
RAPID CITY, SD 57701
Meade County (605) 716-7841
JADE DOERING BS, ACT
Counselor (Addiction (Substance Use Disorder))
1520 HAINES AVE STE 6
RAPID CITY, SD 57701
Meade County (605) 716-7841

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julie Birner's NPI number?

The NPI number for Julie Birner is 1801279807. It was assigned to this individual provider in the NPPES registry on July 8, 2015.

Where is Julie Birner located?

Julie Birner practices at 1520 Haines Ave Ste 6, Rapid City, SD 57701. The listed phone number is (605) 716-7841.

What is Julie Birner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Is Julie Birner enrolled in Medicare?

Yes. Julie Birner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Julie Birner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julie Birner reassigns Medicare benefits to Addiction Recovery Centers Of The Black Hills (Rapid City, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Julie Birner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julie Birner accept?

Health plans from UnitedHealthcare and Wellmark of South Dakota, Inc. list Julie Birner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Julie Birner was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.