CRESCENT WELLNESS, INC
NPI 1124594510
Clinic/Center - Mental Health (Including Community Mental Health Center) in Edmonds, WA

NPI Status: Active since October 23, 2018

Contact Information

320 DAYTON ST STE 127
EDMONDS, WA
ZIP 98020
Phone: (206) 486-0295

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About CRESCENT WELLNESS, INC

This page provides the complete NPI Profile along with additional information for Crescent Wellness, Inc, a provider established in Edmonds, Washington operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1124594510 assigned on October 2018. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Kelly Druin Licsw (Provider)

NPI
1124594510
Provider Name
CRESCENT WELLNESS, INC
Entity Type
Organization
Location Address
320 DAYTON ST STE 127 EDMONDS, WA 98020
Location Phone
(206) 486-0295
Mailing Address
320 DAYTON ST STE 127 EDMONDS, WA 98020
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2018
Last Update Date
05-22-2022
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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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

KELLY DRUIN LICSW

Authorized Official Title
PROVIDER
Authorized Official Phone
(206) 486-0295

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1649586777OTHER (01)NPI

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124594510
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144109852
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 1 + 0 + 9 + 8 + 5 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1124594510 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

MS. ERIN UEDA MCKINNEY LICSW

Social Worker

(Clinical)

320 DAYTON ST STE 127
EDMONDS, WA
ZIP 98020

(206) 745-2110

MRS. KELLY DRUIN LICSW

Social Worker

(Clinical)

320 DAYTON ST STE 127
EDMONDS, WA
ZIP 98020

(206) 486-0295

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124594510, enumerated as an "organization" on October 23, 2018.

The provider is located at 320 DAYTON ST STE 127 EDMONDS, WA 98020 and the phone number is (206) 486-0295.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.