LAUREL FAMILY MEDICAL & MENTAL HEALTH
NPI 1104548585
Nurse Practitioner - Psychiatric/Mental Health in London, KY

NPI Status: Active since September 13, 2022

Contact Information

73 THOMPSON POYNTER RD STE A
LONDON, KY
ZIP 40741
Phone: (606) 657-5912
Fax: (606) 657-5915

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • CLIA Number: 18D2292191
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 10-19-2025

About LAUREL FAMILY MEDICAL & MENTAL HEALTH

This page provides the complete NPI Profile along with additional information for Laurel Family Medical & Mental Health, a provider established in London, Kentucky operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1104548585 assigned on September 2022. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Laurel Family Medical & Mental Health 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 Stephanie Collins Pmhnp (Co Owner)

NPI
1104548585
Provider Name
LAUREL FAMILY MEDICAL & MENTAL HEALTH
Entity Type
Organization
Location Address
73 THOMPSON POYNTER RD STE A LONDON, KY 40741
Location Phone
(606) 657-5912
Location Fax
(606) 657-5915
Mailing Address
73 THOMPSON POYNTER RD STE A LONDON, KY 40741
Mailing Phone
(606) 657-5912
Mailing Fax
(606) 657-5915
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-13-2022
Last Update Date
09-13-2022
Code Navigator

A nurse practitioner (NP) like Laurel Family Medical & Mental Health is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

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.

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

STEPHANIE COLLINS PMHNP

Authorized Official Title
CO OWNER
Authorized Official Phone
(606) 657-5912

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2292191
Facility Type
Practitioner Other
Certificate Effective Date
October 20, 2023
Certificate Expiration Date
October 19, 2025
Laboratory Director
MS. MELANIE MORRISON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Laurel Family Medical & Mental Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1104548585, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 8 → 16 → 7 8 → 16 → 7

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 + 1 + 6 + 5 + 1 + 6 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1104548585.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
73 THOMPSON POYNTER RD STE A
LONDON, KY 40741
Nurse Practitioner
73 THOMPSON POYNTER RD STE A
LONDON, KY 40741
Nurse Practitioner (Psychiatric/Mental Health)
73 THOMPSON POYNTER RD STE A
LONDON, KY 40741
Counselor (Addiction (Substance Use Disorder))
73 THOMPSON POYNTER RD STE A
LONDON, KY 40741
Nurse Practitioner (Psychiatric/Mental Health)
73 THOMPSON POYNTER RD STE A
LONDON, KY 40741
Nurse Practitioner
73 THOMPSON POYNTER RD STE A
LONDON, KY 40741

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104548585, enumerated as an "organization" on September 13, 2022.

The provider is located at 73 THOMPSON POYNTER RD STE A LONDON, KY 40741 and the phone number is (606) 657-5912.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.