Author Topic: TYPE 1 OR 2 NPI  (Read 3449 times)

ChristineS

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TYPE 1 OR 2 NPI
« on: April 10, 2012, 01:17:52 PM »
Hello, I have a LPC-S who wants to hire LMFT's and LCDC's (fully licensed) to to work under her. They will only be temp because they are also LPC-I's. When they finish their hours they will move on to other employment. Can the LPC-S stay and ind provider and credential with carriers and take resp and bill under her NPI for these providers or does she need to become a group? If she becomes a group and ends up being the only person in the group would she then need to change to an ind with the insurance carriers?

Thanks

Michele

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Re: TYPE 1 OR 2 NPI
« Reply #1 on: April 12, 2012, 06:33:23 AM »
I do not believe that she can do that.  Laws do vary from state to state and also each insurance carrier has their own rules/guidelines that must be considered as well, but I do not believe that she can bill under her NPI for those services performed by the other professionals.
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rdmoore2003

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Re: TYPE 1 OR 2 NPI
« Reply #2 on: April 12, 2012, 11:45:18 AM »
We have a medical psychologist and lpc in our office.  One of the lpc's is a lpc-s.   even with them being licensed our mp signs off on everything.   we also have lpc-i and phd -i.  in our state, the unlicensed (interns) are billed under mp.
if they are licensed depending on insurance you can file under them.   if a patient is seen by lpc here and has medicare, we have to file under mp.  most other insurances the lpc is contracted.    but you must see your state rules.  etc.
Regina