MRS. JULIE BIRNER MS, LCSWPIP,QMHP,LAC
NPI 1801279807
Psychologist - Addiction (Substance Use Disorder) in Rapid City, SD
NPI Status: Active since July 08, 2015
Contact Information
1520 HAINES AVE STE 6
RAPID CITY, SD
ZIP 57701
Phone: (605) 716-7841
Fax: (605) 718-0404
- Individual
- Female
- Psychologist
- Addiction (Substance Use Disorder)
- Accepts Insurance
- PECOS Enrolled
About JULIE BIRNER
This page provides the complete NPI Profile along with additional information for Julie Birner, a provider established in Rapid City, South Dakota with a medical specialization in Psychologist, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1801279807 assigned on July 2015. The practitioner's primary taxonomy code is 103TA0400X with license number 9703943 (SD). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1801279807
- Provider Name
- MRS. JULIE BIRNER MS, LCSWPIP,QMHP,LAC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1520 HAINES AVE STE 6 RAPID CITY, SD 57701
- Location Phone
- (605) 716-7841
- Location Fax
- (605) 718-0404
- Mailing Address
- 1520 HAINES AVE STE 6 RAPID CITY, SD 57701
- Mailing Phone
- (605) 716-7841
- Mailing Fax
- (605) 718-0404
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-08-2015
- Last Update Date
- 07-12-2024
- 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
Psychologist Addiction (Substance Use Disorder)
- Taxonomy Code
- 103TA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 9703943
- License State
- SD
- Taxonomy Description
- A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
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 | |
| 2 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | |
| 3 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | 6602 (SD) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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
Julie Birner 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
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 MRS. JULIE BIRNER MS, LCSWPIP,QMHP,LAC
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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 | 8 | 0 | 1 | 2 | 7 | 9 | 8 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 0 | 1 | 4 | 7 | 18 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 0 + 1 + 4 + 7 + 1 + 8 + 8 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1801279807 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740808492 | JADE DOERING BS, ACT Individual | Counselor (Addiction (Substance Use Disorder)) | 1520 HAINES AVE STE 6 RAPID CITY, SD 57701 (605) 716-7841 |
| 1376152595 | STACEY CURNS BS ACT Individual | Counselor (Addiction (Substance Use Disorder)) | 1520 HAINES AVE STE 6 RAPID CITY, SD 57701 (605) 716-7841 |
| 1073131736 | LANNA M BACKEN BS ACT Individual | Counselor (Addiction (Substance Use Disorder)) | 1520 HAINES AVE STE 6 RAPID CITY, SD 57701 (605) 716-7841 |
| 1376161026 | TYLER ROSE O'SULLIVAN BS ACT Individual | Counselor (Addiction (Substance Use Disorder)) | 1520 HAINES AVE STE 6 RAPID CITY, SD 57701 (605) 716-7841 |
| 1174141824 | MS. COLLEEN BETH ZIMMERMAN MSW,CSW,LAC, QMHP Individual | Counselor (Addiction (Substance Use Disorder)) | 1520 HAINES AVE STE 6 RAPID CITY, SD 57701 (605) 716-7841 |
| 1558143925 | MRS. DIANNA BOYLE MS,LPC,NCC,CEAP,LAC Individual | Psychologist (Addiction (Substance Use Disorder)) | 1520 HAINES AVE STE 6 RAPID CITY, SD 57701 (605) 716-7841 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801279807, enumerated in the NPI registry as an "individual" on July 08, 2015
The provider is located at 1520 Haines Ave Ste 6 Rapid City, Sd 57701 and the phone number is (605) 716-7841
The provider's speciality is Psychologist with taxonomy code 103TA0400X with a focus in Addiction (Substance Use Disorder)
The provider might be accepting Accepts: Wellmark of South Dakota, Inc.. 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: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on July 08, 2015. 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].
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