DELTA CENTER OF WISCONSIN
NPI 1104688365
Psychologist - Counseling in Fond Du Lac, WI

NPI Status: Active since January 24, 2024

Contact Information

196 3RD ST
FOND DU LAC, WI
ZIP 54935
Phone: (920) 733-2065

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  • Organization
  • Psychologist
  • Counseling
  • Accepts Insurance

About DELTA CENTER OF WISCONSIN

This page provides the complete NPI Profile along with additional information for Delta Center Of Wisconsin, a provider established in Fond Du Lac, Wisconsin operating as a Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1104688365 assigned on January 2024. The practitioner's primary taxonomy code is 103TC1900X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Delta Center Of Wisconsin operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Delta Center Of Wisconsin. The authorized official of this NPI record is Leslie Johnson (Ceo)

NPI
1104688365
Provider Legal Name
OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
Other Organization Name
DELTA CENTER OF WISCONSIN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
196 3RD ST FOND DU LAC, WI 54935
Location Phone
(920) 733-2065
Mailing Address
11000 OPTUM CIR EDEN PRAIRIE, MN 55344
Mailing Phone
(704) 506-6267
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2024
Last Update Date
04-24-2024
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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

Psychologist Counseling

Taxonomy Code
103TC1900X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

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:

  • HMO Bronze $0 Medical Deductible - HMO
  • HMO Bronze 10000 - HMO
  • HMO Bronze 7500 - HMO
  • HMO Catastrophic 10600 with 3 free PCP visits - HMO
  • HMO Gold 2000 - HMO
  • HMO Gold 2700 - HMO
  • HMO HDHP Silver 5900 - HMO
  • HMO Silver 6000 - HMO
  • HMO Silver 6600 - HMO
  • POS Bronze 7500 - POS
  • POS Bronze 8500 - POS
  • POS Silver 6000 - POS
  • Oak $1,300 Gold - PPO
  • Oak $2,000 Standard Gold - PPO
  • Engage by Medica Bronze HSA - EPO
  • Engage by Medica Bronze Share - EPO
  • Engage by Medica Expanded Bronze Standard - EPO
  • Engage by Medica Gold $0 Copay PCP Visits - EPO
  • Engage by Medica Gold Share - EPO
  • Engage by Medica Gold Standard - EPO
  • Engage by Medica Silver $0 Copay PCP Visits - EPO
  • Engage by Medica Silver Share - EPO
  • Engage by Medica Silver Standard - EPO
  • Essentia Choice Care with Medica Bronze HSA - EPO
  • Essentia Choice Care with Medica Bronze Share - EPO
  • Essentia Choice Care with Medica Expanded Bronze Standard - EPO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Gold Share - EPO
  • Essentia Choice Care with Medica Gold Standard - EPO
  • Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Silver Share - EPO
  • Essentia Choice Care with Medica Silver Standard - EPO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO

*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

LESLIE JOHNSON

Authorized Official Title
CEO
Authorized Official Phone
(704) 506-6267

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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 1104688365, 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
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 6 → 12 → 3 8 → 16 → 7 6 → 12 → 3

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 + 2 + 8 + 1 + 6 + 3 + 1 + 2 + 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 1104688365.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Counselor (Professional)
196 3RD ST
FOND DU LAC, WI 54935
Counselor (Mental Health)
196 3RD ST
FOND DU LAC, WI 54935
Counselor (Professional)
196 3RD ST
FOND DU LAC, WI 54935
Counselor (Mental Health)
196 3RD ST
FOND DU LAC, WI 54935
Social Worker (Clinical)
196 3RD ST
FOND DU LAC, WI 54935

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104688365, enumerated as an "organization" on January 24, 2024.

The provider is located at 196 3RD ST FOND DU LAC, WI 54935 and the phone number is (920) 733-2065.

Psychologist with taxonomy code 103TC1900X and a focus in Counseling.

The provider might be accepting Accepts: Aspirus Health Plan, HealthPartners and Medica. Please consult your insurance carrier or call the provider to verify.