LEXY MARIE CARSTEN LPC
NPI 1063156578
Counselor - Professional in Sioux Falls, SD
NPI Status: Active since April 21, 2022
Contact Information
300 N DAKOTA AVE STE 403
SIOUX FALLS, SD
ZIP 57104
Phone: (605) 566-6141
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
- Opted-Out Medicare
About LEXY CARSTEN
This page provides the complete NPI Profile along with additional information for Lexy Carsten, a provider established in Sioux Falls, South Dakota with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1063156578 assigned on April 2022. The practitioner's primary taxonomy code is 101YP2500X with license number LPC20605 (SD). The provider is registered as an individual and her NPI record was last updated April 2025.
- NPI
- 1063156578
- Provider Name
- LEXY MARIE CARSTEN LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 300 N DAKOTA AVE STE 403 SIOUX FALLS, SD 57104
- Location Phone
- (605) 566-6141
- Mailing Address
- 300 N DAKOTA AVE STE 403 SIOUX FALLS, SD 57104
- Mailing Phone
- (605) 566-6141
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-21-2022
- Last Update Date
- 04-29-2025
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Lexy Carsten opted out of Medicare effective on 05-10-2024 until 05-10-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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.
- LPC20605
- License State
- SD
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) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | LPC23877 (AZ) |
| 2 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 2492 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Avera $1800 - PPO
- Avera $2000 - PPO
- Avera $4000 - PPO
- Avera $4500 - PPO
- Avera $6000 - PPO
- Avera $7500 HSA Eligible HDHP - PPO
- Avera $9200 - PPO
- Avera Standard $1500 - PPO
- Avera Standard $5000 - PPO
- Avera Standard $7500 - PPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
- Wellmark Bronze HDHP HMO HSA Qualified - HMO
- Wellmark Bronze Traditional HMO - HMO
- Wellmark Gold Traditional HMO - HMO
- Wellmark Silver Traditional HMO - HMO
- Wellmark Standard Bronze HMO - HMO
- Wellmark Standard Gold HMO - HMO
- Wellmark Standard Silver HMO - HMO
- Wellmark Bronze HDHP EPO HSA Qualified - EPO
- Wellmark Bronze Traditional EPO - EPO
- Wellmark Gold Traditional EPO - EPO
- Wellmark Silver Traditional EPO - EPO
- Wellmark Standard Bronze EPO - EPO
- Wellmark Standard Gold EPO - EPO
- Wellmark Standard Silver EPO - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
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.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-10-2024
Opt-Out End Date: 05-10-2026
Eligible to Order and Refer? No
Reviews for LEXY MARIE CARSTEN 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 | 0 | 6 | 3 | 1 | 5 | 6 | 5 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 2 | 5 | 12 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 2 + 5 + 1 + 2 + 5 + 1 + 4 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1063156578 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104423474 | REBECCA JUNG LCSW, QMHP Individual | Social Worker (Clinical) | 300 N DAKOTA AVE STE 403 SIOUX FALLS, SD 57104 (605) 409-3003 |
| 1265106017 | ALICIA ANN SCHNABEL Individual | Counselor (Mental Health) | 300 N DAKOTA AVE STE 403 SIOUX FALLS, SD 57104 (605) 702-0110 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063156578, enumerated in the NPI registry as an "individual" on April 21, 2022
The provider is located at 300 N Dakota Ave Ste 403 Sioux Falls, Sd 57104 and the phone number is (605) 566-6141
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider might be accepting Accepts: Avera Health Plans, Sanford Health Plan, Wellmark. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on May 10, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until May 10, 2026.
This NPI record was last updated on April 21, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.