ACRES FOR LIFE THERAPY & WELLNESS CENTER
NPI 1053702910
Counselor in Chisago City, MN

NPI Status: Active since February 13, 2015

Contact Information

11720 256TH ST
CHISAGO CITY, MN
ZIP 55013
Phone: (651) 257-4159

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  • Organization
  • Counselor
  • Accepts Insurance

About ACRES FOR LIFE THERAPY & WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Acres For Life Therapy & Wellness Center, a provider established in Chisago City, Minnesota operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1053702910 assigned on February 2015. The practitioner's primary taxonomy code is 101Y00000X with license number 302220 (MN). The provider is registered as an organization and their NPI record was last updated 11 years ago. Acres For Life Therapy & Wellness Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ms. Lynn Marie Moore (Executive Director)

NPI
1053702910
Provider Name
ACRES FOR LIFE THERAPY & WELLNESS CENTER
Entity Type
Organization
Location Address
11720 256TH ST CHISAGO CITY, MN 55013
Location Phone
(651) 257-4159
Mailing Address
11720 256TH ST CHISAGO CITY, MN 55013
Mailing Phone
(651) 257-4159
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2015
Last Update Date
02-13-2015
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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

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
License No.
302220
License State
MN
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO

*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

MS. LYNN MARIE MOORE

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(651) 257-4159

Reviews for ACRES FOR LIFE THERAPY & WELLNESS CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053702910
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103140492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 4 + 0 + 4 + 9 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1053702910 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

LYNN MARIE FAGEN MOORE

Counselor

(Addiction (Substance Use Disorder))

11720 256TH ST
CHISAGO CITY, MN
ZIP 55013

(651) 257-4159

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053702910, enumerated as an "organization" on February 13, 2015.

The provider is located at 11720 256TH ST CHISAGO CITY, MN 55013 and the phone number is (651) 257-4159.

Counselor with taxonomy code 101Y00000X.

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