ELYSIA N TIDEY
NPI 1104541242
Counselor in South Bend, IN

NPI Status: Active since October 11, 2022

Contact Information

611 LINCOLN WAY E
SOUTH BEND, IN
ZIP 46601
Phone: (574) 360-4066
Fax: (866) 843-2486

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  • Individual
  • Female
  • Counselor

About ELYSIA TIDEY

This page provides the complete NPI Profile along with additional information for Elysia Tidey, a provider established in South Bend, Indiana with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1104541242 assigned on October 2022. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1104541242
Provider Name
ELYSIA N TIDEY
Gender
Female
Entity Type
Individual
Location Address
611 LINCOLN WAY E SOUTH BEND, IN 46601
Location Phone
(574) 360-4066
Location Fax
(866) 843-2486
Mailing Address
611 LINCOLN WAY E SOUTH BEND, IN 46601
Mailing Phone
(574) 360-4066
Mailing Fax
(866) 843-2486
Is Sole Proprietor?
No
Enumeration Date
10-11-2022
Last Update Date
10-11-2022
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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 State
IN
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.

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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 1104541242, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 0 + 4 + 2 + 2 + 8 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104541242.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Psychologist (Cognitive & Behavioral)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Community/Behavioral Health
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Counselor (Mental Health)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Nurse Practitioner (Family)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Clinic/Center (Primary Care)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Counselor (Mental Health)
611 LINCOLN WAY E
SOUTH BEND, IN 46601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104541242, enumerated as an "individual" on October 11, 2022.

The provider is located at 611 LINCOLN WAY E SOUTH BEND, IN 46601 and the phone number is (574) 360-4066.

Counselor with taxonomy code 101Y00000X.