INTEGRATED COUNSELING CENTER LLC
NPI 1104053701
Social Worker - Clinical in Fond Du Lac, WI

NPI Status: Active since June 22, 2009

Contact Information

N6687 WRIGHTWAY DR STE D
FOND DU LAC, WI
ZIP 54937
Phone: (920) 929-9140
Fax: (920) 929-9142

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  • Organization
  • Social Worker
  • Clinical

About INTEGRATED COUNSELING CENTER LLC

This page provides the complete NPI Profile along with additional information for Integrated Counseling Center Llc, a provider established in Fond Du Lac, Wisconsin operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1104053701 assigned on June 2009. The practitioner's primary taxonomy code is 1041C0700X with license number 7003-123 (WI). The provider is registered as an organization and their NPI record was last updated 17 years ago. Integrated Counseling Center 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 Rosonna Sue Comers Lcsw (Owner)

NPI
1104053701
Provider Name
INTEGRATED COUNSELING CENTER LLC
Entity Type
Organization
Location Address
N6687 WRIGHTWAY DR STE D FOND DU LAC, WI 54937
Location Phone
(920) 929-9140
Location Fax
(920) 929-9142
Mailing Address
N6687 WRIGHTWAY DR STE D FOND DU LAC, WI 54937
Mailing Phone
(920) 929-9140
Mailing Fax
(920) 929-9142
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-22-2009
Last Update Date
06-22-2009
Code Navigator

A clinical social worker like Integrated Counseling Center Llc 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.
7003-123
License State
WI
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.

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)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

29-036 (WI)
2103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

2270-057 (WI)
31041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

7209-123 (WI)

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:

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

ROSONNA SUE COMERS LCSW

Authorized Official Title
OWNER
Authorized Official Phone
(920) 929-9140

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
422-43800MEDICAID (05)WI 

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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 1104053701, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
1
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 0 → 0 0 → 0 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 0 + 5 + 6 + 7 + 0 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1104053701.

Other Providers at the Same Location


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

Counselor (Mental Health)
N6687 WRIGHTWAY DR STE D
FOND DU LAC, WI 54937

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104053701, enumerated as an "organization" on June 22, 2009.

The provider is located at N6687 WRIGHTWAY DR STE D FOND DU LAC, WI 54937 and the phone number is (920) 929-9140.

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.