CHARLES L DIVINEY III MC LPC NCC
NPI 1235447772
Counselor - Professional in Slc, UT

NPI Status: Active since September 17, 2010

Contact Information

352 SO DENVER ST.
#215
SLC, UT
ZIP 84110
Phone: (801) 521-4227
Fax: (801) 359-0777

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  • Organization
  • Counselor
  • Professional
  • Accepts Insurance

About CHARLES L DIVINEY III MC LPC NCC

This page provides the complete NPI Profile along with additional information for Charles L Diviney Iii Mc Lpc Ncc, a provider established in Slc, Utah operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1235447772 assigned on September 2010. The practitioner's primary taxonomy code is 101YP2500X with license number 340426-6004 (UT). The provider is registered as an organization and their NPI record was last updated 13 years ago. Charles L Diviney Iii Mc Lpc Ncc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Charles L Diviney Iii Mc Lcmhc Ncc, Phd Mc Lcmhc Ncc Phd. (Owner/therapist)

NPI
1235447772
Provider Name
CHARLES L DIVINEY III MC LPC NCC
Entity Type
Organization
Location Address
352 SO DENVER ST. #215 SLC, UT 84110
Location Phone
(801) 521-4227
Location Fax
(801) 359-0777
Mailing Address
PO BOX 3872 SLC, UT 84110
Mailing Phone
(801) 521-4227
Mailing Fax
(801) 359-0777
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-17-2010
Last Update Date
11-21-2012
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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
License No.
340426-6004
License State
UT

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

5170621-6004 (UT)
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

6281940-3501 (UT)
3364SP0808XPhysician Assistants & Advanced Practice Nursing Providers

Clinical Nurse Specialist
Psychiatric/Mental Health

210158-4405 (UT)

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:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Bronze Essential 8500 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 1500 - EPO
  • Regence Standard Silver 5000 - EPO
  • Silver 5000 - EPO
  • Silver 6200 - EPO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay - EPO
  • Healthy Premier Silver Standard - EPO
  • U Health Plus Bronze - EPO
  • U Health Plus Expanded Bronze Standard - EPO
  • U Health Plus Gold - EPO
  • U Health Plus Gold Standard - EPO

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.

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

CHARLES L DIVINEY III MC LCMHC NCC, PHD MC LCMHC NCC PHD.

Authorized Official Title
OWNER/THERAPIST
Authorized Official Phone
(801) 521-4227

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
340426600001001OTHER (01)UTBCBS UT

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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.
1235447772
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22658414714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 8 + 4 + 1 + 4 + 7 + 1 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1235447772 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235447772, enumerated as an "organization" on September 17, 2010.

The provider is located at 352 SO DENVER ST. #215 SLC, UT 84110 and the phone number is (801) 521-4227.

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

The provider might be accepting Accepts: Aetna CVS Health, BridgeSpan Health Company,. Please consult your insurance carrier or call the provider to verify.