SERENITY COUNSELING SERVICES PA
NPI 1275689812
Clinic/Center - Rehabilitation, Substance Use Disorder in Stuart, FL

NPI Status: Active since January 26, 2007

Contact Information

500 NW DIXIE HWY
SUITE 102
STUART, FL
ZIP 34994
Phone: (772) 692-8585
Fax: (772) 692-5651

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About SERENITY COUNSELING SERVICES PA

This page provides the complete NPI Profile along with additional information for Serenity Counseling Services Pa, a provider established in Stuart, Florida operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1275689812 assigned on January 2007. The practitioner's primary taxonomy code is 261QR0405X with license number 1943AD620400 (FL). The provider is registered as an organization and their NPI record was last updated 14 years ago. Serenity Counseling Services Pa 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 Gilda G Broadwell Phd (Psychologist)

NPI
1275689812
Provider Name
SERENITY COUNSELING SERVICES PA
Entity Type
Organization
Location Address
500 NW DIXIE HWY SUITE 102 STUART, FL 34994
Location Phone
(772) 692-8585
Location Fax
(772) 692-5651
Mailing Address
PO BOX 2474 STUART, FL 34995
Mailing Phone
(772) 692-8585
Mailing Fax
(772) 692-5651
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2007
Last Update Date
10-23-2012
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License No.
1943AD620400
License State
FL

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)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

PY5591 (FL)

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

GILDA G BROADWELL PHD

Authorized Official Title
PSYCHOLOGIST
Authorized Official Phone
(772) 692-8585

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
15-43-AD-6204-00OTHER (01)FLC&F SUB ABUSE COUNSELING
00039394MEDICARE ID-TYPE UNSPECIFIED (04) 

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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 1275689812, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
2
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 7 → 14 → 5 6 → 12 → 3 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 4 + 5 + 1 + 2 + 8 + 1 + 8 + 8 + 2 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1275689812.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dentist
500 NW DIXIE HWY, SUITE 200
STUART, FL 34994
Dentist (General Practice)
500 NW DIXIE HWY, SUITE 200
STUART, FL 34994
Psychologist
500 NW DIXIE HWY, SUITE 102
STUART, FL 34994
Dentist (General Practice)
500 NW DIXIE HWY, SUITE 200
STUART, FL 34994
Home Health
500 NW DIXIE HWY, SUITE 104
STUART, FL 34994

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275689812, enumerated as an "organization" on January 26, 2007.

The provider is located at 500 NW DIXIE HWY SUITE 102 STUART, FL 34994 and the phone number is (772) 692-8585.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

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