NIKOLE RIOS LCPC, RPT
NPI 1972970515
Counselor in Nampa, ID

NPI Status: Active since August 31, 2015

Contact Information

156 MCCLURE AVE
NAMPA, ID
ZIP 83651
Phone: (208) 467-7654
Fax: (208) 345-3502

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  • Individual
  • Female
  • Counselor
  • Accepts Insurance
  • PECOS Enrolled

About NIKOLE RIOS

This page provides the complete NPI Profile along with additional information for Nikole Rios, a provider established in Nampa, Idaho with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1972970515 assigned on August 2015. The practitioner's primary taxonomy code is 101Y00000X with license number LCPC-7024 (ID). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1972970515
Provider Name
NIKOLE RIOS LCPC, RPT
Other Name
NIKOLE JONES L.P.C.
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
156 MCCLURE AVE NAMPA, ID 83651
Location Phone
(208) 467-7654
Location Fax
(208) 345-3502
Mailing Address
PO BOX 9 NAMPA, ID 83653
Mailing Phone
(208) 467-4431
Mailing Fax
(208) 345-3502
Is Sole Proprietor?
No
Enumeration Date
08-31-2015
Last Update Date
11-28-2023
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Location Map

Secondary Locations

  • 2204 S Elder St
    Nampa, ID 83686
    (208) 495-4554

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.
LCPC-7024
License State
ID
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Developmental Therapist

LCPC-7024 (ID)

Insurance Plans Accepted

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

  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Bronze 8000 - EPO
  • Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 2000 - EPO
  • Regence Standard Silver 6000 - EPO
  • Silver 6500 - EPO
  • Med Benchmark Expanded Bronze Select Copay Plan - HMO
  • Med Benchmark Expanded Bronze Standardized Plan - HMO
  • Med Benchmark Gold Standardized Plan - HMO
  • Med Benchmark Platinum - HMO
  • Med Benchmark Platinum Standardized Plan - HMO
  • Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
  • Med Benchmark Silver Standardized Plan - HMO
  • Med Gold 1500 Medical Deductible - HMO

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
13625583MEDICAID (05)ID 

Medicare Participation & PECOS Enrollment Status

Nikole Rios 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

  • 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 NIKOLE RIOS LCPC, RPT

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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 1972970515, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
5
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 7 → 14 → 5 9 → 18 → 9 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 8 + 7 + 0 + 5 + 2 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1972970515.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Speech-Language Pathologist
156 MCCLURE AVE
NAMPA, ID 83651
Social Worker (Clinical)
156 MCCLURE AVE
NAMPA, ID 83651
Speech-Language Pathologist
156 MCCLURE AVE
NAMPA, ID 83651
Social Worker (Clinical)
156 MCCLURE AVE
NAMPA, ID 83651
Social Worker (Clinical)
156 MCCLURE AVE
NAMPA, ID 83651
Social Worker (Clinical)
156 MCCLURE AVE
NAMPA, ID 83651
Counselor (Professional)
156 MCCLURE AVE
NAMPA, ID 83651
Clinic/Center (Federally Qualified Health Center (FQHC))
156 MCCLURE AVE
NAMPA, ID 83651
Counselor
156 MCCLURE AVE
NAMPA, ID 83651
Social Worker
156 MCCLURE AVE
NAMPA, ID 83651

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972970515, enumerated as an "individual" on August 31, 2015.

The provider is located at 156 MCCLURE AVE NAMPA, ID 83651 and the phone number is (208) 467-7654.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.