SYDNEY CLARK
NPI 1093410060
Counselor - Addiction (Substance Use Disorder) in Grand Ronde, OR

NPI Status: Active since March 31, 2023

Contact Information

9615 GRAND RONDE RD
GRAND RONDE, OR
ZIP 97347
Phone: (503) 879-2297

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  • Individual
  • Female
  • Counselor
  • Addiction (Substance Use Disorder)
  • Accepts Insurance

About SYDNEY CLARK

This page provides the complete NPI Profile along with additional information for Sydney Clark, a provider established in Grand Ronde, Oregon with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1093410060 assigned on March 2023. The practitioner's primary taxonomy code is 101YA0400X with license number T-23-2489 (OR). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1093410060
Provider Name
SYDNEY CLARK
Gender
Female
Entity Type
Individual
Location Address
9615 GRAND RONDE RD GRAND RONDE, OR 97347
Location Phone
(503) 879-2297
Mailing Address
9615 GRAND RONDE RD GRAND RONDE, OR 97347
Mailing Phone
(503) 879-2297
Is Sole Proprietor?
No
Enumeration Date
03-31-2023
Last Update Date
07-24-2024
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A Substance Abuse or Addiction Counselor like Sydney Clark advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

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

Counselor Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers
License No.
T-23-2489
License State
OR

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)
1175T00000XOther Service Providers

Peer Specialist

108162 (OR)

Insurance Plans Accepted

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

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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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 1093410060, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
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 9 → 18 → 9 4 → 8 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 8 + 1 + 0 + 0 + 1 + 2 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1093410060.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Speech-Language Pathologist
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Marriage & Family Therapist
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Clinical Medical Laboratory
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Optometrist
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Peer Specialist
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Counselor (Addiction (Substance Use Disorder))
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Internal Medicine
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Registered Nurse
9615 GRAND RONDE RD
GRAND RONDE, OR 97347

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093410060, enumerated as an "individual" on March 31, 2023.

The provider is located at 9615 GRAND RONDE RD GRAND RONDE, OR 97347 and the phone number is (503) 879-2297.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.