COUNSELING & WELLNESS CENTER
NPI 1053793216
Social Worker - Clinical in Palm Desert, CA

NPI Status: Active since June 24, 2015

Contact Information

39760 BLACK MESA LN
PALM DESERT, CA
ZIP 92260
Phone: (760) 832-4904

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  • Organization
  • Social Worker
  • Clinical

About COUNSELING & WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Counseling & Wellness Center, a provider established in Palm Desert, California operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1053793216 assigned on June 2015. The practitioner's primary taxonomy code is 1041C0700X with license number 16686 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Counseling & Wellness Center. The authorized official of this NPI record is Ms. Kelly A Ellis Lcsw (Owner)

NPI
1053793216
Provider Legal Name
KELLY A. ELLIS
Other Organization Name
COUNSELING & WELLNESS CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
39760 BLACK MESA LN PALM DESERT, CA 92260
Location Phone
(760) 832-4904
Mailing Address
PO BOX 2805 RANCHO MIRAGE, CA 92270
Mailing Phone
(760) 832-4904
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-24-2015
Last Update Date
08-01-2023
Code Navigator

A clinical social worker like Counseling & Wellness Center is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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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

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
16686
License State
CA
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

MS. KELLY A ELLIS LCSW

Authorized Official Title
OWNER
Authorized Official Phone
(760) 832-4904

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
ZZZ28136ZOTHER (01)CAMEDICARE PTAN

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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 1053793216, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
6
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 5 → 10 → 1 7 → 14 → 5 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 1 + 4 + 9 + 6 + 2 + 2 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1053793216.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
39760 BLACK MESA LN
PALM DESERT, CA 92260

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053793216, enumerated as an "organization" on June 24, 2015.

The provider is located at 39760 BLACK MESA LN PALM DESERT, CA 92260 and the phone number is (760) 832-4904.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

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