ROSECRANCE DAKOTA CLINIC
NPI 1134575558
Clinic/Center - Mental Health (Including Community Mental Health Center) in Crystal Lake, IL

NPI Status: Active since May 05, 2016

Contact Information

620 DAKOTA ST
CRYSTAL LAKE, IL
ZIP 60012
Phone: (815) 391-1000
Fax: (815) 316-4726

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

About ROSECRANCE DAKOTA CLINIC

This page provides the complete NPI Profile along with additional information for Rosecrance Dakota Clinic, a provider established in Crystal Lake, Illinois 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 1134575558 assigned on May 2016. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Rosecrance Dakota Clinic. The authorized official of this NPI record is Phil Eaton (Ceo / President)

NPI
1134575558
Provider Legal Name
ROSECRANCE INC
Other Organization Name
ROSECRANCE DAKOTA CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
620 DAKOTA ST CRYSTAL LAKE, IL 60012
Location Phone
(815) 391-1000
Location Fax
(815) 316-4726
Mailing Address
1021 N MULFORD RD ROCKFORD, IL 61107
Mailing Phone
(815) 391-1000
Mailing Fax
(815) 316-4726
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2016
Last Update Date
09-05-2018
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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

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:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO

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

PHIL EATON

Authorized Official Title
CEO / PRESIDENT
Authorized Official Phone
(815) 391-1000

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
04081MEDICAID (05)IL 

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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 1134575558, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
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 3 → 6 5 → 10 → 1 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 6 + 4 + 1 + 0 + 7 + 1 + 0 + 5 + 1 + 0 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1134575558.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Clinic/Center (Mental Health (Including Community Mental Health Center))
620 DAKOTA ST
CRYSTAL LAKE, IL 60012
Clinic/Center (Mental Health (Including Community Mental Health Center))
620 DAKOTA ST
CRYSTAL LAKE, IL 60012
Social Worker
620 DAKOTA ST
CRYSTAL LAKE, IL 60012
Counselor (Professional)
620 DAKOTA ST
CRYSTAL LAKE, IL 60012
Social Worker
620 DAKOTA ST
CRYSTAL LAKE, IL 60012
Social Worker
620 DAKOTA ST
CRYSTAL LAKE, IL 60012
Social Worker
620 DAKOTA ST
CRYSTAL LAKE, IL 60012
Clinic/Center (Mental Health (Including Community Mental Health Center))
620 DAKOTA ST
CRYSTAL LAKE, IL 60012
Social Worker
620 DAKOTA ST
CRYSTAL LAKE, IL 60012
Social Worker (Clinical)
620 DAKOTA ST
CRYSTAL LAKE, IL 60012
Social Worker
620 DAKOTA ST
CRYSTAL LAKE, IL 60012
Social Worker
620 DAKOTA ST
CRYSTAL LAKE, IL 60012
Counselor (Professional)
620 DAKOTA ST
CRYSTAL LAKE, IL 60012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134575558, enumerated as an "organization" on May 05, 2016.

The provider is located at 620 DAKOTA ST CRYSTAL LAKE, IL 60012 and the phone number is (815) 391-1000.

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

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.