KATIE MARIE GILMER MS, LADC
NPI 1366195729
Counselor - Addiction (Substance Use Disorder) in Rochester, MN
NPI Status: Active since January 26, 2022
- Individual
- Female
- Counselor
- Addiction (Substance Use Disorder)
- Accepts Insurance
- Opted-Out Medicare
About KATIE GILMER
This page provides the complete NPI Profile along with additional information for Katie Gilmer, a provider established in Rochester, Minnesota with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1366195729 assigned on January 2022. The practitioner's primary taxonomy code is 101YA0400X with license number 306030 (MN). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1366195729
- Provider Name
- KATIE MARIE GILMER MS, LADC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 604 5TH ST SW ROCHESTER, MN 55902
- Location Phone
- (507) 225-1800
- Mailing Address
- 936 41ST ST NW APT C216 ROCHESTER, MN 55901
- Mailing Phone
- (507) 581-2570
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-26-2022
- Last Update Date
- 01-26-2022
- Code Navigator
A Substance Abuse or Addiction Counselor like Katie Gilmer advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
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. Katie Gilmer opted out of Medicare effective on 02-09-2024 until 02-09-2026. 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 Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 306030
- License State
- MN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
*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: 02-09-2024
Opt-Out End Date: 02-09-2026
Eligible to Order and Refer? No
Reviews for KATIE MARIE GILMER MS, LADC
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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 | 3 | 6 | 6 | 1 | 9 | 5 | 7 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 2 | 9 | 10 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 2 + 9 + 1 + 0 + 7 + 4 + 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 1366195729 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 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1003913369 | THE GABLES, INC. Organization | Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children) | 604 5TH ST SW ROCHESTER, MN 55902 (507) 282-2500 |
| 1407467640 | MICHELLE BOHMERT MA LADC LPCC Individual | Counselor (Professional) | 604 5TH ST SW ROCHESTER, MN 55902 (651) 796-3556 |
| 1063089134 | GRACE ELIZABETH LOUISE BOEHNKE LADC Individual | Counselor (Addiction (Substance Use Disorder)) | 604 5TH ST SW ROCHESTER, MN 55902 (507) 282-2500 |
| 1295302875 | HALEY ATENCIO BA, LADC Individual | Counselor (Addiction (Substance Use Disorder)) | 604 5TH ST SW ROCHESTER, MN 55902 (507) 225-1800 |
| 1003483694 | REGINA ANNE MUSTAFA LADC Individual | Counselor (Addiction (Substance Use Disorder)) | 604 5TH ST SW ROCHESTER, MN 55902 (507) 357-1742 |
| 1730817461 | SOPHIE LEONARD MS, LADC Individual | Counselor (Addiction (Substance Use Disorder)) | 604 5TH ST SW ROCHESTER, MN 55902 (507) 282-2500 |
| 1811677842 | ASHLEY R SMITH Individual | Counselor (Addiction (Substance Use Disorder)) | 604 5TH ST SW ROCHESTER, MN 55902 (507) 225-1800 |
| 1407484983 | THE GABLES LLC Organization | Substance Abuse Rehabilitation Facility | 604 5TH ST SW ROCHESTER, MN 55902 (507) 225-0820 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366195729, enumerated in the NPI registry as an "individual" on January 26, 2022
The provider is located at 604 5th St Sw Rochester, Mn 55902 and the phone number is (507) 225-1800
The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)
The provider might be accepting Accepts: HealthPartners. 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 February 09, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until February 09, 2026.
This NPI record was last updated on January 26, 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.