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

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  • 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
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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.
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

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1871982009
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28141188400
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 = 99

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

(210) 246-1306

MISS JONETTE SUZANNE COQUAT LCSW, LADC

Social Worker

(Clinical)

601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207

(210) 261-3079

BRIAN D. CLARK PA-C

Physician Assistant

(Medical)

601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207

(210) 261-3750

GINA SEYFRIED FNP-BC

Nurse Practitioner

(Family)

601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207

(210) 261-3750

JESUS RODRIGUEZ LCDC

Counselor

(Addiction (Substance Use Disorder))

601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207

(210) 261-1000

MS. REBECCA LYNN LANNING M.A., LPC

Counselor

(Professional)

601 N FRIO ST
BUILDING 1
SAN ANTONIO, TX
ZIP 78207

(210) 225-5481

STEPHEN FLANDERS

Counselor

(Addiction (Substance Use Disorder))

601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207

(210) 246-1330

DAVID RAMON BALTAZAR FNP-C

Nurse Practitioner

(Family)

601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207

(210) 610-0136

DONALD R DAVIS LCDC

Counselor

(Addiction (Substance Use Disorder))

601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207

(210) 261-1000

MARGARITA OCHOASMITH LPC, LCDC

Counselor

(Professional)

601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207

(210) 261-1000

ROSENDO GARCIA LPC

Counselor

(Professional)

601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207

(210) 225-5481

ANASTASIA L. GONZALES

Counselor

(Professional)

601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207

(210) 261-3001

WILLIAM F BENSON LPC, LCDC

Counselor

(Professional)

601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207

(210) 261-1000

JENNIFER GALAVIZ

Counselor

(Professional)

601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207

(210) 261-1000

GRACE OLALEYE-ANISERE NP

Nurse Practitioner

(Psychiatric/Mental Health)

601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207

(210) 246-1397

JAMIE STROHL LCDC

Counselor

(Addiction (Substance Use Disorder))

601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207

(210) 261-1040

MARIA MAGDALENA CANAS PMHNP

Nurse Practitioner

(Psychiatric/Mental Health)

601 N FRIO ST
SAN ANTONIO, TX
ZIP 78207

(210) 859-4410

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.