ONEEIGHTY
NPI 1164904843
Family Medicine - Addiction Medicine in Wooster, OH

NPI Status: Active since August 30, 2018

Contact Information

104 SPINK ST
WOOSTER, OH
ZIP 44691
Phone: (330) 264-8498

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  • Organization
  • Family Medicine
  • Addiction Medicine
  • Accepts Insurance
  • CLIA Number: 36D2127308
  • CLIA Cert. Type: Other - MH
  • CLIA Exp. Date: 03-12-2027

About ONEEIGHTY

This page provides the complete NPI Profile along with additional information for Oneeighty, a provider established in Wooster, Ohio operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1164904843 assigned on August 2018. The practitioner's primary taxonomy code is 207QA0401X with license number 34.010211 (OH). The provider is registered as an organization and their NPI record was last updated 8 years 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 provider's is doing business as Oneeighty. The authorized official of this NPI record is Bobbi Douglas (Executive Director)

NPI
1164904843
Provider Legal Name
ONEEIGHTY, INC.
Other Organization Name
ONEEIGHTY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
104 SPINK ST WOOSTER, OH 44691
Location Phone
(330) 264-8498
Mailing Address
104 SPINK ST WOOSTER, OH 44691
Mailing Phone
(330) 264-8498
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2018
Last Update Date
08-30-2018
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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

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
License No.
34.010211
License State
OH
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

Group Taxonomy 193400000X MULTIPLE 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.

Insurance Plans Accepted

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

  • Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 8500 for HSA - HMO
  • Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway 5500 for HSA - HMO
  • Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Molina Bronze Enhanced 3500 - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
  • Molina Bronze Saver 7000 - HMO
  • Molina Bronze Saver 7000 Plus with Adult Dental and Vision - HMO
  • Molina Bronze Saver 7000 Plus with Adult Vision - HMO
  • Molina Bronze Smart Heart Health - HMO
  • Molina Bronze Standard - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Enhanced 895 - HMO
  • Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
  • Molina Gold Enhanced 895 Plus with Adult Vision - HMO
  • Molina Gold Smart Heart Health - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO

*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

BOBBI DOUGLAS

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(330) 264-8498

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
36D2127308
Facility Type
Other - MH
Certificate Effective Date
March 13, 2025
Certificate Expiration Date
March 12, 2027
Laboratory Director
BOBBI DOUGLAS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Oneeighty 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.

Reviews for ONEEIGHTY

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1164904843, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
3
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 6 → 12 → 3 9 → 18 → 9 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 1 + 8 + 0 + 8 + 8 + 8 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1164904843.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
104 SPINK ST
WOOSTER, OH 44691
Counselor (Professional)
104 SPINK ST
WOOSTER, OH 44691
Counselor (Professional)
104 SPINK ST, GAULT LIBERTY CENTER
WOOSTER, OH 44691
Counselor (Addiction (Substance Use Disorder))
104 SPINK ST
WOOSTER, OH 44691
Counselor (Professional)
104 SPINK ST, THIRD FLOOR
WOOSTER, OH 44691
Psychologist
104 SPINK ST
WOOSTER, OH 44691
Counselor (Addiction (Substance Use Disorder))
104 SPINK ST
WOOSTER, OH 44691
Counselor (Addiction (Substance Use Disorder))
104 SPINK ST, 3RD FLOOR
WOOSTER, OH 44691
Social Worker (Clinical)
104 SPINK ST
WOOSTER, OH 44691
Counselor (Professional)
104 SPINK ST
WOOSTER, OH 44691
Counselor (Professional)
104 SPINK ST
WOOSTER, OH 44691
Counselor
104 SPINK ST
WOOSTER, OH 44691
Counselor (Mental Health)
104 SPINK ST
WOOSTER, OH 44691
Counselor (Addiction (Substance Use Disorder))
104 SPINK ST
WOOSTER, OH 44691
Counselor
104 SPINK ST
WOOSTER, OH 44691
Counselor
104 SPINK ST
WOOSTER, OH 44691
Counselor
104 SPINK ST
WOOSTER, OH 44691
Social Worker
104 SPINK ST
WOOSTER, OH 44691
Community/Behavioral Health
104 SPINK ST
WOOSTER, OH 44691
Counselor (Professional)
104 SPINK ST
WOOSTER, OH 44691

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164904843, enumerated as an "organization" on August 30, 2018.

The provider is located at 104 SPINK ST WOOSTER, OH 44691 and the phone number is (330) 264-8498.

Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Molina. Please consult your insurance carrier or call the provider to verify.