MOUNTAIN MIND THERAPY LLC
NPI 1114814209
Counselor - Professional in Frisco, CO

NPI Status: Active since June 20, 2025

Contact Information

610 MAIN ST
FRISCO, CO
ZIP 80443
Phone: (970) 306-6760

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  • Organization
  • Counselor
  • Professional

About MOUNTAIN MIND THERAPY LLC

This page provides the complete NPI Profile along with additional information for Mountain Mind Therapy Llc, a provider established in Frisco, Colorado operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1114814209 assigned on June 2025. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jacqueline Black Ma, Lpcc (Lpcc)

NPI
1114814209
Provider Name
MOUNTAIN MIND THERAPY LLC
Entity Type
Organization
Location Address
610 MAIN ST FRISCO, CO 80443
Location Phone
(970) 306-6760
Mailing Address
PO BOX 6463 BRECKENRIDGE, CO 80424
Mailing Phone
(207) 807-9145
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2025
Last Update Date
06-20-2025
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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 Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

JACQUELINE BLACK MA, LPCC

Authorized Official Title
LPCC
Authorized Official Phone
(970) 306-6760

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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 1114814209, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
9
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 8 → 16 → 7 4 → 8 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 + 6 + 1 + 8 + 2 + 0 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1114814209.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
610 MAIN ST
FRISCO, CO 80443
Counselor (Professional)
610 MAIN ST, 14A
FRISCO, CO 80443

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114814209, enumerated as an "organization" on June 20, 2025.

The provider is located at 610 MAIN ST FRISCO, CO 80443 and the phone number is (970) 306-6760.

Counselor with taxonomy code 101YP2500X and a focus in Professional.