COUNSELING CENTER AT CLARK - CHERRY HILL
NPI 1114707502
Clinic/Center - Rehabilitation, Substance Use Disorder in Cherry Hill, NJ

NPI Status: Active since October 03, 2023

Contact Information

950 KINGS HWY N STE 304
CHERRY HILL, NJ
ZIP 08034
Phone: (561) 318-4400

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 31D2145885
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-18-2028

About COUNSELING CENTER AT CLARK - CHERRY HILL

This page provides the complete NPI Profile along with additional information for Counseling Center At Clark - Cherry Hill, a provider established in Cherry Hill, New Jersey operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1114707502 assigned on October 2023. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Counseling Center At Clark - Cherry Hill. The authorized official of this NPI record is Jason Usilton (Director Of Rcm)

NPI
1114707502
Provider Legal Name
COUNSELING CENTER AT CLARK, LLC
Other Organization Name
COUNSELING CENTER AT CLARK - CHERRY HILL
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
950 KINGS HWY N STE 304 CHERRY HILL, NJ 08034
Location Phone
(561) 318-4400
Mailing Address
950 KINGS HWY N STE 304 CHERRY HILL, NJ 08034
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-03-2023
Last Update Date
10-04-2023
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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

JASON USILTON

Authorized Official Title
DIRECTOR OF RCM
Authorized Official Phone
(561) 318-4400

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
31D2145885
Facility Type
Physician Office
Certificate Effective Date
March 19, 2026
Certificate Expiration Date
March 18, 2028
Laboratory Director
NINA LOWERY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Counseling Center At Clark - Cherry Hill 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 1114707502, 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
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
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 1 → 2 7 → 14 → 5 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 1 + 4 + 0 + 1 + 4 + 5 + 0 + 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 1114707502.

Other Providers at the Same Location


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

Counselor
950 KINGS HWY N STE 304
CHERRY HILL, NJ 08034
Social Worker
950 KINGS HWY N STE 304
CHERRY HILL, NJ 08034
Counselor
950 KINGS HWY N STE 304
CHERRY HILL, NJ 08034
Social Worker
950 KINGS HWY N STE 304
CHERRY HILL, NJ 08034
Counselor (Professional)
950 KINGS HWY N STE 304
CHERRY HILL, NJ 08034
Clinic/Center (Rehabilitation, Substance Use Disorder)
950 KINGS HWY N STE 304
CHERRY HILL, NJ 08034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114707502, enumerated as an "organization" on October 03, 2023.

The provider is located at 950 KINGS HWY N STE 304 CHERRY HILL, NJ 08034 and the phone number is (561) 318-4400.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.