SPACE TO HEAL MENTAL HEALTH SERVICES
NPI 1184219636
Counselor - Professional in Milwaukee, WI

NPI Status: Active since March 06, 2021

Contact Information

333 W BROWN DEER RD UNIT G526
MILWAUKEE, WI
ZIP 53217
Phone: (832) 947-4673

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  • Organization
  • Counselor
  • Professional

About SPACE TO HEAL MENTAL HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Space To Heal Mental Health Services, a provider established in Milwaukee, Wisconsin operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1184219636 assigned on March 2021. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Space To Heal Mental Health Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Aasiyah Clark (Psychotherapist)

NPI
1184219636
Provider Name
SPACE TO HEAL MENTAL HEALTH SERVICES
Entity Type
Organization
Location Address
333 W BROWN DEER RD UNIT G526 MILWAUKEE, WI 53217
Location Phone
(832) 947-4673
Mailing Address
333 W BROWN DEER RD UNIT G526 MILWAUKEE, WI 53217
Mailing Phone
(832) 947-4673
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-06-2021
Last Update Date
03-06-2021
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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 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

AASIYAH CLARK

Authorized Official Title
PSYCHOTHERAPIST
Authorized Official Phone
(832) 947-4673

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
1235578709MEDICAID (05)LA 

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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 1184219636, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
6
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 8 → 16 → 7 2 → 4 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 6 + 4 + 4 + 1 + 1 + 8 + 6 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1184219636.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184219636, enumerated as an "organization" on March 06, 2021.

The provider is located at 333 W BROWN DEER RD UNIT G526 MILWAUKEE, WI 53217 and the phone number is (832) 947-4673.

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

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