SERGIO RAMIREZ LPC
NPI 1871982009
Counselor - Professional in San Antonio, TX
NPI Status: Active since January 12, 2015
Contact Information
601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207
Phone: (210) 261-1000
Fax: (210) 731-8678
- Individual
- Male
- Years of Experience 15
- Counselor
- Professional
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About SERGIO RAMIREZ
This page provides the complete NPI Profile along with additional information for Sergio Ramirez, a provider established in San Antonio, Texas with a medical specialization in Counselor, focusing in professional and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1871982009 assigned on January 2015. The practitioner's primary taxonomy code is 101YP2500X with license number 69327 (TX). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1871982009
- Provider Name
- SERGIO RAMIREZ LPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 601 N FRIO ST SAN ANTONIO, TX 78207
- Location Phone
- (210) 261-1000
- Location Fax
- (210) 731-8678
- Mailing Address
- 6800 PARK TEN BLVD STE 200S SAN ANTONIO, TX 78213
- Mailing Phone
- (210) 261-1060
- Mailing Fax
- (210) 731-8678
- Medical School Name
- OTHER
- Graduation Year
- 2011
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-12-2015
- Last Update Date
- 01-05-2024
- Code Navigator
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 Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 69327
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6000 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
- Connect Bronze 8500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Bronze DFW 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
- Connect Gold 1000 Indiv Med Deductible - HMO
- Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care - HMO
- Connect Gold 3250 Indiv Med Deductible - HMO
- Connect Gold 3500 Indiv Med Deductible - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3000 Indiv Med Deductible - HMO
- Connect Silver 4000 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Standard - HMO
- UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Standard - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Sergio Ramirez 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.
Sergio Ramirez 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: 6002265576
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: I20250203001037
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 SERGIO RAMIREZ 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. | |||||||||
| 1 | 8 | 7 | 1 | 9 | 8 | 2 | 0 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 14 | 1 | 18 | 8 | 4 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 4 + 1 + 1 + 8 + 8 + 4 + 0 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1871982009 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
MS. CRISTINA A ROSS FNP-BC
Nurse Practitioner
(Family)
601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207
MISS JONETTE SUZANNE COQUAT LCSW, LADC
Social Worker
(Clinical)
601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207
BRIAN D. CLARK PA-C
Physician Assistant
(Medical)
601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207
GINA SEYFRIED FNP-BC
Nurse Practitioner
(Family)
601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207
JESUS RODRIGUEZ LCDC
Counselor
(Addiction (Substance Use Disorder))
601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207
MS. REBECCA LYNN LANNING M.A., LPC
Counselor
(Professional)
601 N FRIO ST
BUILDING 1
SAN ANTONIO, TX
ZIP 78207
STEPHEN FLANDERS
Counselor
(Addiction (Substance Use Disorder))
601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207
DAVID RAMON BALTAZAR FNP-C
Nurse Practitioner
(Family)
601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207
DONALD R DAVIS LCDC
Counselor
(Addiction (Substance Use Disorder))
601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207
MARGARITA OCHOASMITH LPC, LCDC
Counselor
(Professional)
601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207
ROSENDO GARCIA LPC
Counselor
(Professional)
601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207
ANASTASIA L. GONZALES
Counselor
(Professional)
601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207
WILLIAM F BENSON LPC, LCDC
Counselor
(Professional)
601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207
JENNIFER GALAVIZ
Counselor
(Professional)
601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207
GRACE OLALEYE-ANISERE NP
Nurse Practitioner
(Psychiatric/Mental Health)
601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207
JAMIE STROHL LCDC
Counselor
(Addiction (Substance Use Disorder))
601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207
MARIA MAGDALENA CANAS PMHNP
Nurse Practitioner
(Psychiatric/Mental Health)
601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871982009, enumerated as an "individual" on January 12, 2015.
The provider is located at 601 N FRIO ST SAN ANTONIO, TX 78207 and the phone number is (210) 261-1000.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Aetna CVS Health, Cigna Healthcare and. Please consult your insurance carrier or call the provider to verify.