Mr Justin Lee Nielsen, MA, LPC, ACT - Medicare Counselor in Sioux Falls, SD

Mr Justin Lee Nielsen, MA, LPC, ACT is a medicare enrolled "Counselor - Mental Health" provider in Sioux Falls, South Dakota. His current practice location is 310 S 1st Ave, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 336-2556.

Mr Justin Lee Nielsen is licensed to practice in South Dakota (license number LPC20290) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184193740.

Contact Information

Mr Justin Lee Nielsen, MA, LPC, ACT
310 S 1st Ave,
Sioux Falls, SD 57104-6329
(605) 336-2556
(605) 339-3345

Map and Direction


Healthcare Provider's Profile

Full NameMr Justin Lee Nielsen
GenderMale
SpecialityCounselor - Mental Health
Location310 S 1st Ave, Sioux Falls, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184193740
  • Provider Enumeration Date: 11/13/2018
  • Last Update Date: 11/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8527405976
  • Enrollment ID: I20240321001927

Medical Identifiers

Medical identifiers for Mr Justin Lee Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184193740NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YM0800XCounselor - Mental Health LPC20290 (South Dakota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Justin Lee Nielsen allows following entities to bill medicare on his behalf.
Entity NameCarroll Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255868220
PECOS PAC ID: 9234586264
Enrollment ID: O20231113000850

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Justin Lee Nielsen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Justin Lee Nielsen, MA, LPC, ACT
310 S 1st Ave,
Sioux Falls, SD 57104-6329

Ph: (605) 336-2556
Mr Justin Lee Nielsen, MA, LPC, ACT
310 S 1st Ave,
Sioux Falls, SD 57104-6329

Ph: (605) 336-2556

Reviews and Comments


Counselor in Sioux Falls, SD

Susan Lynn Schmeichel Harder, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 2412 S Cliff Ave, Sioux Falls, SD 57105
Phone: 605-322-4079    Fax: 605-322-4080
Charles Deridder,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2501 W 22nd St, Sioux Falls, SD 57105
Phone: 605-336-3230    Fax: 605-977-4405
Sam Booth, MA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2109 S Norton Ave, Sioux Falls, SD 57105
Phone: 605-334-2696    
Emily Lynn Lake, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4300 S Louise Ave Ste 201, Sioux Falls, SD 57106
Phone: 605-334-7713    
Mr. Victor Vincent Bien, MA, NCC, LPC, QMHP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2210 S Brown Pl, Sioux Falls, SD 57105
Phone: 605-336-1974    
Alyssa Sommer Mendel, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 310 S 1st Ave, Sioux Falls, SD 57104
Phone: 605-275-1328    
Kristi Miller, MS LPC MS QMHP
Counselor
Medicare: Medicare Enrolled
Practice Location: 1410 W 25th St, Sioux Falls, SD 57105
Phone: 605-334-2696    Fax: 605-339-9944

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.