KSA YOUTH FOUNDATION INC.
NPI 1013483023
Clinic/Center - Rehabilitation, Substance Use Disorder in Fort Washington, MD

NPI Status: Active since October 17, 2018

Contact Information

10905 FORT WASHINGTON RD STE 105
FORT WASHINGTON, MD
ZIP 20744
Phone: (240) 766-4194
Fax: (301) 485-0363

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About KSA YOUTH FOUNDATION INC.

This page provides the complete NPI Profile along with additional information for Ksa Youth Foundation Inc., a provider established in Fort Washington, Maryland operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1013483023 assigned on October 2018. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Ksa Youth Foundation Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Katrina Ann Wilkins-jackson Phd (President & Ceo)

NPI
1013483023
Provider Name
KSA YOUTH FOUNDATION INC.
Entity Type
Organization
Location Address
10905 FORT WASHINGTON RD STE 105 FORT WASHINGTON, MD 20744
Location Phone
(240) 766-4194
Location Fax
(301) 485-0363
Mailing Address
10905 FORT WASHINGTON RD STE 105 FORT WASHINGTON, MD 20744
Mailing Phone
(240) 766-4194
Mailing Fax
(301) 485-0363
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2018
Last Update Date
10-03-2023
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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 Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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)
1163WA0400XNursing Service Providers

Registered Nurse
Addiction (Substance Use Disorder)

 
2207RA0401XAllopathic & Osteopathic Physicians

Internal Medicine
Addiction Medicine

 
3405300000XOther Service Providers

Prevention Professional

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATRINA ANN WILKINS-JACKSON PHD

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(240) 766-4194

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
132375000MEDICAID (05)MD 

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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 1013483023, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 4 → 8 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 8 + 8 + 6 + 0 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1013483023.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

General Practice
10905 FORT WASHINGTON RD STE 105
FORT WASHINGTON, MD 20744
Clinic/Center (Mental Health (Including Community Mental Health Center))
10905 FORT WASHINGTON RD STE 105
FORT WASHINGTON, MD 20744

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013483023, enumerated as an "organization" on October 17, 2018.

The provider is located at 10905 FORT WASHINGTON RD STE 105 FORT WASHINGTON, MD 20744 and the phone number is (240) 766-4194.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.