STEPHEN RATCLIFF MA, LPCC, LPC, NCC
NPI 1982933552
Counselor - Professional in Albuquerque, NM

NPI Status: Active since December 10, 2009

Contact Information

120 ALISO DR SE
ALBUQUERQUE, NM
ZIP 87108
Phone: (505) 504-5449

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  • Individual
  • Male
  • Years of Experience 17
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About STEPHEN RATCLIFF

This page provides the complete NPI Profile along with additional information for Stephen Ratcliff, a provider established in Albuquerque, New Mexico with a medical specialization in Counselor, focusing in professional and more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1982933552 assigned on December 2009. The practitioner's primary taxonomy code is 101YP2500X with license number 0144871 (NM). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1982933552
Provider Name
STEPHEN RATCLIFF MA, LPCC, LPC, NCC
Gender
Male
Entity Type
Individual
Location Address
120 ALISO DR SE ALBUQUERQUE, NM 87108
Location Phone
(505) 504-5449
Mailing Address
PO BOX 3258 OREGON CITY, OR 97045
Mailing Phone
(505) 504-5449
Medical School Name
OTHER
Graduation Year
2009
Is Sole Proprietor?
No
Enumeration Date
12-10-2009
Last Update Date
10-05-2023
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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.
0144871
License State
NM

Insurance Plans Accepted

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

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • 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

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
C6334OTHER (01)ORLICENSED PROFESSIONAL COUNSELOR (LPC
0144871OTHER (01)NMLICENSED CLINICAL MENTAL HEALTH COUNSELOR (LPCC)
15804321MEDICAID (05)NM 

Medicare Participation & PECOS Enrollment Status

Stephen Ratcliff 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.

Stephen Ratcliff 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: 9931559275

    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: I20231228001562, I20240112001434

    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 STEPHEN RATCLIFF MA, LPCC, LPC, NCC

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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 1982933552, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
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 8 → 16 → 7 9 → 18 → 9 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 6 + 2 + 1 + 8 + 3 + 6 + 5 + 1 + 0 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1982933552.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Social Worker (Clinical)
120 ALISO DR SE
ALBUQUERQUE, NM 87108
Social Worker (Clinical)
120 ALISO DR SE
ALBUQUERQUE, NM 87108
Social Worker (Clinical)
120 ALISO DR SE
ALBUQUERQUE, NM 87108
Social Worker (Clinical)
120 ALISO DR SE
ALBUQUERQUE, NM 87108
Community/Behavioral Health
120 ALISO DR SE
ALBUQUERQUE, NM 87108
Social Worker (Clinical)
120 ALISO DR SE
ALBUQUERQUE, NM 87108
Nurse Practitioner (Psychiatric/Mental Health)
120 ALISO DR SE
ALBUQUERQUE, NM 87108
Social Worker (Clinical)
120 ALISO DR SE
ALBUQUERQUE, NM 87108
Social Worker (Clinical)
120 ALISO DR SE
ALBUQUERQUE, NM 87108
Marriage & Family Therapist
120 ALISO DR SE
ALBUQUERQUE, NM 87108
Marriage & Family Therapist
120 ALISO DR SE
ALBUQUERQUE, NM 87108
Advanced Practice Midwife
120 ALISO DR SE
ALBUQUERQUE, NM 87108
Occupational Therapist
120 ALISO DR SE
ALBUQUERQUE, NM 87108
Clinic/Center (Mental Health (Including Community Mental Health Center))
120 ALISO DR SE
ALBUQUERQUE, NM 87108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982933552, enumerated as an "individual" on December 10, 2009.

The provider is located at 120 ALISO DR SE ALBUQUERQUE, NM 87108 and the phone number is (505) 504-5449.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

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