STATE OF MIND COUNSELING AND WELLNESS CENTER
NPI 1013277128
Clinic/Center - Adolescent and Children Mental Health in Eagle, ID
NPI Status: Active since May 22, 2012
Contact Information
141 N PALMETTO AVE UNIT 1626
EAGLE, ID
ZIP 83616
Phone: (208) 939-3999
- Organization
- Clinic/Center
- Adolescent and Children Mental Health
- Accepts Insurance
About STATE OF MIND COUNSELING AND WELLNESS CENTER
This page provides the complete NPI Profile along with additional information for State Of Mind Counseling And Wellness Center, a provider established in Eagle, Idaho operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1013277128 assigned on May 2012. The practitioner's primary taxonomy code is 261QM0855X with license number 4841 (ID). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Lynda Smith (Lpc)
- NPI
- 1013277128
- Provider Name
- STATE OF MIND COUNSELING AND WELLNESS CENTER
- Entity Type
- Organization
- Location Address
- 141 N PALMETTO AVE UNIT 1626 EAGLE, ID 83616
- Location Phone
- (208) 939-3999
- Mailing Address
- 233 W STATE ST STE D EAGLE, ID 83616
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-22-2012
- Last Update Date
- 07-27-2012
- 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
Clinic/Center Adolescent and Children Mental Health
- Taxonomy Code
- 261QM0855X
- Type
- Ambulatory Health Care Facilities
- License No.
- 4841
- License State
- ID
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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 | 251S00000X | Agencies | Community/Behavioral Health | 4841 (ID) |
| 2 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | 4841 (ID) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013277128, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013277128, enumerated as an "organization" on May 22, 2012.
The provider is located at 141 N PALMETTO AVE UNIT 1626 EAGLE, ID 83616 and the phone number is (208) 939-3999.
Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.
The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.
