BEADED STAR RECOVERY,LLC
NPI 1053681205
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jacksonville Beach, FL
NPI Status: Active since January 05, 2012
Contact Information
2380 3RD ST S
SUITE 1
JACKSONVILLE BEACH, FL
ZIP 32250
Phone: (904) 241-3113
Fax: (904) 513-9268
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About BEADED STAR RECOVERY,LLC
This page provides the complete NPI Profile along with additional information for Beaded Star Recovery,llc, a provider established in Jacksonville Beach, Florida 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 1053681205 assigned on January 2012. The practitioner's primary taxonomy code is 261QM0801X with license number ND546 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. Beaded Star Recovery,llc 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 Ms. Marilyn K Dahl Rd, Ld/n, Mba, Cedrd (Owner)
- NPI
- 1053681205
- Provider Name
- BEADED STAR RECOVERY,LLC
- Entity Type
- Organization
- Location Address
- 2380 3RD ST S SUITE 1 JACKSONVILLE BEACH, FL 32250
- Location Phone
- (904) 241-3113
- Location Fax
- (904) 513-9268
- Mailing Address
- 2380 3RD ST S SUITE 1 JACKSONVILLE BEACH, FL 32250
- Mailing Phone
- (904) 241-3113
- Mailing Fax
- (904) 513-9268
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-05-2012
- Last Update Date
- 08-07-2015
- 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 Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- ND546
- License State
- FL
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 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | MH8334 (FL) |
| 2 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | ND546 (FL) |
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.
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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 1053681205, we treat the final digit (5) 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).
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 45 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
JACKSONVILLE BEACH, FL 32250
JACKSONVILLE BEACH, FL 32250
JACKSONVILLE BEACH, FL 32250
JACKSONVILLE BEACH, FL 32250
JACKSONVILLE BEACH, FL 32250
JACKSONVILLE BEACH, FL 32250
JACKSONVILLE BEACH, FL 32250
JACKSONVILLE BEACH, FL 32250
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053681205, enumerated as an "organization" on January 05, 2012.
The provider is located at 2380 3RD ST S SUITE 1 JACKSONVILLE BEACH, FL 32250 and the phone number is (904) 241-3113.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
