NICOLE DARLENE ETHRIDGE MA, LPC
NPI 1760974596
Counselor - Professional in Columbia, MO
NPI Status: Active since June 06, 2018
Contact Information
1805 E WALNUT ST
COLUMBIA, MO
ZIP 65201
Phone: (573) 777-7500
Fax: (573) 777-7505
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
- PECOS Enrolled
About NICOLE ETHRIDGE
This page provides the complete NPI Profile along with additional information for Nicole Ethridge, a provider established in Columbia, Missouri with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1760974596 assigned on June 2018. The practitioner's primary taxonomy code is 101YP2500X with license number 16030 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1760974596
- Provider Name
- NICOLE DARLENE ETHRIDGE MA, LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1805 E WALNUT ST COLUMBIA, MO 65201
- Location Phone
- (573) 777-7500
- Location Fax
- (573) 777-7505
- Mailing Address
- 1300 E BRADFORD PKWY SPRINGFIELD, MO 65804
- Mailing Phone
- (417) 761-5000
- Mailing Fax
- (573) 777-7505
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-06-2018
- Last Update Date
- 10-01-2024
- Code Navigator
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.
- 16030
- License State
- CA
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 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | 2018013675 (MO) |
| 2 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 37PC00899200 (NJ) |
| 3 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | PC-0011186 (DE) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO
- Anthem Gold Pathway 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Silver Pathway 2900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 7250 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- BlueCare EPO Bronze - EPO
- BlueCare EPO Gold - EPO
- BlueCare EPO Gold Plus - EPO
- BlueCare EPO Silver Plus - EPO
- BlueCare EPO Simple Bronze HDHP - EPO
- BlueCare EPO Simple Silver HDHP - EPO
- BlueCare EPO Standardized Expanded Bronze - EPO
- BlueCare EPO Standardized Gold - EPO
- BlueCare EPO Standardized Silver - EPO
- my Blue Access Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
- my Blue Access PPO Bronze 3800 - PPO
- my Blue Access PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
- my Blue Access PPO Bronze 8900 - PPO
- my Blue Access PPO Gold 0 - PPO
- my Blue Access PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access PPO Gold 1700 HSA - PPO
- my Blue Access PPO Premier Gold 0 - PPO
- my Blue Access PPO Premier Gold 0 + Adult Dental and Vision - PPO
- Balance by Medica Bronze $0 Copay PCP Visits - EPO
- Balance by Medica Bronze Premier - EPO
- Balance by Medica Catastrophic - EPO
- Balance by Medica Expanded Bronze Standard - EPO
- Balance by Medica Gold $0 Copay PCP Visits - EPO
- Balance by Medica Gold Share - EPO
- Balance by Medica Gold Standard - EPO
- Balance by Medica Silver $0 Copay PCP Visits - EPO
- Balance by Medica Silver Share - EPO
- Balance by Medica Silver Standard - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Elite Saver Plus - EPO
- Silver Simple Diabetes - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Standard (No Referrals) - EPO
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 |
|---|---|---|---|
| 490055189 | MEDICAID (05) | MO |
Medicare Participation & PECOS Enrollment Status
Nicole Ethridge 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: 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: No
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 NICOLE DARLENE ETHRIDGE MA, 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 | 7 | 6 | 0 | 9 | 7 | 4 | 5 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 18 | 7 | 8 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 8 + 7 + 8 + 5 + 1 + 8 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1760974596 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1285688622 | MR. TIMOTHY VONENGELN MSW, LCSW Individual | Social Worker (Clinical) | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 777-7500 |
| 1588101059 | JENNIFER BOWMAN PLPC Individual | Counselor (Professional) | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 777-7500 |
| 1952348690 | ROBERT L BYNUM DO Individual | Family Medicine | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 777-7500 |
| 1972891455 | SAMUEL MULUGETA TEMESGEN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 777-7524 |
| 1518965805 | ROBIN ELIZABETH MCCARTNEY MSW, LCSW Individual | Social Worker (Clinical) | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 777-7500 |
| 1467114686 | PREFERRED FAMILY HEALTHCARE INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 603-1460 |
| 1528792603 | ABAGAIL BENN LPN Individual | Licensed Practical Nurse | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 603-1460 |
| 1184343824 | BRENNA ISHLER LMSW Individual | Social Worker (Clinical) | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 777-7500 |
| 1134425994 | DUSTIN JAMES COOLEY MSW, LCSW Individual | Social Worker (Clinical) | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 777-7500 |
| 1700500089 | TAYLOR J GREEN MA, PLPC Individual | Counselor (Professional) | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 777-7500 |
| 1205234747 | CHELSEA S BRUNSTROM MED, LPC Individual | Counselor (Professional) | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 777-7500 |
| 1326812215 | ERIN J MCGUIRE FNP Individual | Nurse Practitioner (Family) | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 603-1460 |
| 1063872828 | RENAE L BARKEMA MED, LPC, LMFT Individual | Counselor (Professional) | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 777-7500 |
| 1851858369 | CLAYTON L SCHUTZ PA-C Individual | Physician Assistant | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 777-7500 |
| 1154992436 | COURTNEY F TWENTER MED, LPC Individual | Counselor (Professional) | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 777-7500 |
| 1013045715 | BURRELL, INC. Organization | Case Management | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 777-7500 |
| 1508537101 | RACHAEL L JORDAN LPC Individual | Counselor (Professional) | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 777-7500 |
| 1306592696 | CARISSA DANIELLE THOMPSON FNP-C Individual | Nurse Practitioner (Family) | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 476-0030 |
| 1255181814 | DAPHANY D JOHNSON LPN Individual | Licensed Practical Nurse | 1805 E WALNUT ST COLUMBIA, MO 65201 (573) 603-1460 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760974596, enumerated in the NPI registry as an "individual" on June 06, 2018
The provider is located at 1805 E Walnut St Columbia, Mo 65201 and the phone number is (573) 777-7500
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider might be accepting Accepts: Aetna CVS Health, Anthem Blue Cross and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME).
This NPI record was last updated on June 06, 2018. 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.