EVENTIDE WELLNESS INC
NPI 1033714753
Clinic/Center - Mental Health (Including Community Mental Health Center) in Orland Park, IL

NPI Status: Active since December 01, 2020

Contact Information

7021 W 153RD ST STE 5
ORLAND PARK, IL
ZIP 60462
Phone: (708) 381-5009
Fax: (888) 419-1594

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About EVENTIDE WELLNESS INC

This page provides the complete NPI Profile along with additional information for Eventide Wellness Inc, a provider established in Orland Park, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1033714753 assigned on December 2020. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Timothy Michael Jenkins Lcpc (Ed And Acting Secretary)

NPI
1033714753
Provider Name
EVENTIDE WELLNESS INC
Entity Type
Organization
Location Address
7021 W 153RD ST STE 5 ORLAND PARK, IL 60462
Location Phone
(708) 381-5009
Location Fax
(888) 419-1594
Mailing Address
PO BOX 764 MANTENO, IL 60950
Mailing Phone
(708) 275-0934
Mailing Fax
(888) 419-1594
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2020
Last Update Date
12-01-2020
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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

MR. TIMOTHY MICHAEL JENKINS LCPC

Authorized Official Title
ED AND ACTING SECRETARY
Authorized Official Phone
(708) 275-0934

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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 1033714753, 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
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 3 → 6 7 → 14 → 5 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 6 + 3 + 1 + 4 + 1 + 8 + 7 + 1 + 0 + 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 1033714753.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Marriage & Family Therapist
7021 W 153RD ST STE 5
ORLAND PARK, IL 60462
Counselor
7021 W 153RD ST STE 5
ORLAND PARK, IL 60462
Counselor (Professional)
7021 W 153RD ST STE 5
ORLAND PARK, IL 60462
Counselor (Professional)
7021 W 153RD ST STE 5
ORLAND PARK, IL 60462
Counselor (Professional)
7021 W 153RD ST STE 5
ORLAND PARK, IL 60462

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033714753, enumerated as an "organization" on December 01, 2020.

The provider is located at 7021 W 153RD ST STE 5 ORLAND PARK, IL 60462 and the phone number is (708) 381-5009.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).