BLACKFOOT MEDICAL CLINIC MENTAL HEALTH
NPI 1265635205
Counselor - Professional in Blackfoot, ID
NPI Status: Active since June 07, 2007
Contact Information
1441 PARKWAY DR
BLACKFOOT, ID
ZIP 83221
Phone: (208) 785-2600
- Organization
- Counselor
- Professional
- CLIA Number: 13D0673165
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 11-24-2025
About BLACKFOOT MEDICAL CLINIC MENTAL HEALTH
This page provides the complete NPI Profile along with additional information for Blackfoot Medical Clinic Mental Health, a provider established in Blackfoot, Idaho operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1265635205 assigned on June 2007. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 6 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 authorized official of this NPI record is Betty Miller (Business Office Manager)
- NPI
- 1265635205
- Provider Name
- BLACKFOOT MEDICAL CLINIC MENTAL HEALTH
- Entity Type
- Organization
- Location Address
- 1441 PARKWAY DR BLACKFOOT, ID 83221
- Location Phone
- (208) 785-2600
- Mailing Address
- 1441 PARKWAY DR BLACKFOOT, ID 83221
- Mailing Phone
- (208) 785-2600
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-07-2007
- Last Update Date
- 08-22-2020
- Code Navigator
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 Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
Group Taxonomy 193400000X 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.
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
- 13D0673165
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- November 25, 2023
- Certificate Expiration Date
- November 24, 2025
- Laboratory Director
- PAUL L. BECKETT
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Blackfoot Medical Clinic Mental Health after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1265635205, 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 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 45 is 50. 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.
BLACKFOOT, ID 83221
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265635205, enumerated as an "organization" on June 07, 2007.
The provider is located at 1441 PARKWAY DR BLACKFOOT, ID 83221 and the phone number is (208) 785-2600.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
