EASTER SEALS UCP NC & VA, INC
NPI 1194887695
Counselor - Mental Health in Mount Airy, NC
NPI Status: Active since December 14, 2006
Contact Information
414 W LEBANON ST
MOUNT AIRY, NC
ZIP 27030
Phone: (336) 786-7079
Fax: (336) 786-6312
- Organization
- Counselor
- Mental Health
- CLIA Number: 34D2034443
- CLIA Cert. Type: Other - INTEGRATED CARE CLINIC
- CLIA Exp. Date: 12-22-2025
About EASTER SEALS UCP NC & VA, INC
This page provides the complete NPI Profile along with additional information for Easter Seals Ucp Nc & Va, Inc, a provider established in Mount Airy, North Carolina operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1194887695 assigned on December 2006. The practitioner's primary taxonomy code is 101YM0800X with license number 9901371 (NC). The provider is registered as an organization and their NPI record was last updated 7 years ago. Easter Seals Ucp Nc & Va, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Easter Seals Ucp Nc & Va, Inc. The authorized official of this NPI record is Nasheba Key-allred (Credentialing Specialist)
- NPI
- 1194887695
- Provider Legal Name
- EASTER SEALS UCP NC & VA, INC
- Other Organization Name
- EASTER SEALS UCP NC & VA, INC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 414 W LEBANON ST MOUNT AIRY, NC 27030
- Location Phone
- (336) 786-7079
- Location Fax
- (336) 786-6312
- Mailing Address
- 5171 GLENWOOD AVE SUITE 400 RALEIGH, NC 27612
- Mailing Phone
- (919) 783-8898
- Mailing Fax
- (336) 786-6312
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-14-2006
- Last Update Date
- 08-12-2019
- Code Navigator
A mental health counselor like Easter Seals Ucp Nc & Va, Inc provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
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
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 9901371
- License State
- NC
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.
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.
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 |
|---|---|---|---|
| 018KJ | OTHER (01) | NC | NC BCBS GROUP PROVIDER NU |
| 5903514 | MEDICAID (05) | NC |
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
- 34D2034443
- Facility Type
- Other - INTEGRATED CARE CLINIC
- Certificate Effective Date
- December 23, 2023
- Certificate Expiration Date
- December 22, 2025
- Laboratory Director
- MS. SHANNON SANDERS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Easter Seals Ucp Nc & Va, Inc 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.
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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 1194887695, we treat the final digit (5) 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 75 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MOUNT AIRY, NC 27030
MOUNT AIRY, NC 27030
MOUNT AIRY, NC 27030
MOUNT AIRY, NC 27030
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194887695, enumerated as an "organization" on December 14, 2006.
The provider is located at 414 W LEBANON ST MOUNT AIRY, NC 27030 and the phone number is (336) 786-7079.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
