SARA ZINGSHEIM
NPI 1477959781
Counselor - Professional in West Bend, WI
NPI Status: Active since November 13, 2014
Contact Information
111 E WASHINGTON ST
WEST BEND, WI
ZIP 53095
Phone: (262) 338-2717
Fax: (262) 338-9767
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
- Opted-Out Medicare
About SARA ZINGSHEIM
This page provides the complete NPI Profile along with additional information for Sara Zingsheim, a provider established in West Bend, Wisconsin with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1477959781 assigned on November 2014. The practitioner's primary taxonomy code is 101YP2500X with license number 5812-125 (WI). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1477959781
- Provider Name
- SARA ZINGSHEIM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 111 E WASHINGTON ST WEST BEND, WI 53095
- Location Phone
- (262) 338-2717
- Location Fax
- (262) 338-9767
- Mailing Address
- 111 E WASHINGTON ST WEST BEND, WI 53095
- Mailing Phone
- (262) 338-2717
- Mailing Fax
- (262) 338-9767
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-13-2014
- Last Update Date
- 10-26-2015
- 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. Sara Zingsheim opted out of Medicare effective on 01-01-2024 until 01-01-2026. 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.
- 5812-125
- License State
- WI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
*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: 01-01-2024
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? No
Reviews for SARA ZINGSHEIM
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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 | 4 | 7 | 7 | 9 | 5 | 9 | 7 | 8 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 18 | 5 | 18 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 8 + 5 + 1 + 8 + 7 + 1 + 6 + 24 = 79 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 79 = 1 | 1 | ||||||||
The NPI number 1477959781 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831635382 | ALDINA SEAGREN LPC Individual | Counselor (Professional) | 111 E WASHINGTON ST WEST BEND, WI 53095 (262) 338-2717 |
| 1710042262 | SUZANNE GINGRICH MSW LCSW Individual | Social Worker (Clinical) | 111 E WASHINGTON ST WEST BEND, WI 53095 (262) 338-2717 |
| 1184658098 | MS. LONNA LEE TAYLOR MS RN APNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 111 E WASHINGTON ST WEST BEND, WI 53095 (262) 338-2717 |
| 1144725615 | JULIE ANNE ROCHELEAU LPC, SAC Individual | Counselor (Professional) | 111 E WASHINGTON ST WEST BEND, WI 53095 (262) 338-2717 |
| 1376015701 | CRAIG A GROSKREUTZ MS, LPC Individual | Counselor (Professional) | 111 E WASHINGTON ST WEST BEND, WI 53095 (262) 338-2717 |
| 1043768724 | ALYSSA SEKADLO Individual | Nurse Practitioner (Psychiatric/Mental Health) | 111 E WASHINGTON ST WEST BEND, WI 53095 (262) 338-2717 |
| 1386022572 | CARISSA ALT-FRANKARD M.A., L.P.C Individual | Counselor (Professional) | 111 E WASHINGTON ST WEST BEND, WI 53095 (262) 338-2717 |
| 1174115935 | RYANNE BETH WENDT LCSW Individual | Social Worker (Clinical) | 111 E WASHINGTON ST WEST BEND, WI 53095 (262) 338-2717 |
| 1093238131 | ABBY LOUISE JANSSEN LCSW Individual | Social Worker (Clinical) | 111 E WASHINGTON ST WEST BEND, WI 53095 (262) 338-2717 |
| 1851473698 | AFFILIATED CLINICAL SERVICES INC Organization | Clinic/Center (Multi-Specialty) | 111 E WASHINGTON ST WEST BEND, WI 53095 (262) 338-2717 |
| 1013612217 | TIFFANY DUBEY LCSW, SAC-IT Individual | Social Worker (Clinical) | 111 E WASHINGTON ST WEST BEND, WI 53095 (262) 338-2717 |
| 1497352074 | ARIANA ANDERSON Individual | Counselor (Professional) | 111 E WASHINGTON ST WEST BEND, WI 53095 (262) 338-2717 |
| 1861266082 | AMBER BROWN LPC, ATR Individual | Counselor (Professional) | 111 E WASHINGTON ST WEST BEND, WI 53095 (262) 338-2717 |
| 1457834947 | ABBEY L KUEHN LCSW Individual | Social Worker (Clinical) | 111 E WASHINGTON ST WEST BEND, WI 53095 (262) 338-2717 |
| 1598382228 | BRIDGET E POGODZINSKI Individual | Marriage & Family Therapist | 111 E WASHINGTON ST WEST BEND, WI 53095 (262) 338-2717 |
| 1073125035 | DANIEL BARANEK Individual | Counselor (Professional) | 111 E WASHINGTON ST WEST BEND, WI 53095 (262) 338-2717 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477959781, enumerated in the NPI registry as an "individual" on November 13, 2014
The provider is located at 111 E Washington St West Bend, Wi 53095 and the phone number is (262) 338-2717
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. 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 January 01, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2026.
This NPI record was last updated on November 13, 2014. 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.