WHITE LIGHT BEHAVIORAL HEATH COLUMBUS, LLC
NPI 1295573921
Clinic/Center - Adult Mental Health in Columbus, OH

NPI Status: Active since July 17, 2024

Contact Information

4040 E BROAD ST
COLUMBUS, OH
ZIP 43213
Phone: (614) 705-2767

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  • Organization
  • Clinic/Center
  • Adult Mental Health
  • Accepts Insurance
  • CLIA Number: 36D2308386
  • CLIA Cert. Type: Other - DAY TREATMENT PROGRAM
  • CLIA Exp. Date: 07-25-2026

About WHITE LIGHT BEHAVIORAL HEATH COLUMBUS, LLC

This page provides the complete NPI Profile along with additional information for White Light Behavioral Heath Columbus, Llc, a provider established in Columbus, Ohio operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1295573921 assigned on July 2024. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Laurie Boudreau (Chief Of Staff)

NPI
1295573921
Provider Name
WHITE LIGHT BEHAVIORAL HEATH COLUMBUS, LLC
Entity Type
Organization
Location Address
4040 E BROAD ST COLUMBUS, OH 43213
Location Phone
(614) 705-2767
Mailing Address
4040 E BROAD ST COLUMBUS, OH 43213
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2024
Last Update Date
07-17-2024
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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 Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Molina Bronze Enhanced 3500 - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
  • Molina Bronze Saver 7000 - HMO
  • Molina Bronze Saver 7000 Plus with Adult Dental and Vision - HMO
  • Molina Bronze Saver 7000 Plus with Adult Vision - HMO
  • Molina Bronze Smart Heart Health - HMO
  • Molina Bronze Standard - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Enhanced 895 - HMO
  • Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
  • Molina Gold Enhanced 895 Plus with Adult Vision - HMO
  • Molina Gold Smart Heart Health - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO

*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

LAURIE BOUDREAU

Authorized Official Title
CHIEF OF STAFF
Authorized Official Phone
(844) 297-3995

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
36D2308386
Facility Type
Other - DAY TREATMENT PROGRAM
Certificate Effective Date
July 26, 2024
Certificate Expiration Date
July 25, 2026
Laboratory Director
RYAN WAKIM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to White Light Behavioral Heath Columbus, Llc 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.

Reviews for WHITE LIGHT BEHAVIORAL HEATH COLUMBUS, LLC

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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 1295573921, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
1
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 9 → 18 → 9 5 → 10 → 1 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 8 + 5 + 1 + 0 + 7 + 6 + 9 + 4 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1295573921.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Home Health
4040 E BROAD ST, SUITE 115
COLUMBUS, OH 43213
Pharmacy
4040 E BROAD ST
COLUMBUS, OH 43213
Pharmacy (Community/Retail Pharmacy)
4040 E BROAD ST, SUITE 105
COLUMBUS, OH 43213
Pharmacist
4040 E BROAD ST, STE 105
COLUMBUS, OH 43213
Clinic/Center (Adult Day Care)
4040 E BROAD ST, SUITE 125
COLUMBUS, OH 43213
Family Medicine
4040 E BROAD ST
COLUMBUS, OH 43213
Licensed Practical Nurse
4040 E BROAD ST
WHITEHALL, OH 43213
Registered Nurse (Addiction (Substance Use Disorder))
4040 E BROAD ST
WHITEHALL, OH 43213
Licensed Practical Nurse
4040 E BROAD ST
WHITEHALL, OH 43213
Counselor (Addiction (Substance Use Disorder))
4040 E BROAD ST
WHITEHALL, OH 43213
Counselor (Addiction (Substance Use Disorder))
4040 E BROAD ST
WHITEHALL, OH 43213
Counselor (Addiction (Substance Use Disorder))
4040 E BROAD ST
WHITEHALL, OH 43213
Substance Abuse Rehabilitation Facility
4040 E BROAD ST
COLUMBUS, OH 43213
Nurse Practitioner (Psychiatric/Mental Health)
4040 E BROAD ST
COLUMBUS, OH 43213
Licensed Practical Nurse
4040 E BROAD ST
WHITEHALL, OH 43213
Licensed Practical Nurse
4040 E BROAD ST
WHITEHALL, OH 43213
Registered Nurse (Addiction (Substance Use Disorder))
4040 E BROAD ST
WHITEHALL, OH 43213
Counselor (Addiction (Substance Use Disorder))
4040 E BROAD ST
COLUMBUS, OH 43213
Registered Nurse
4040 E BROAD ST
COLUMBUS, OH 43213
Counselor (Addiction (Substance Use Disorder))
4040 E BROAD ST
COLUMBUS, OH 43213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295573921, enumerated as an "organization" on July 17, 2024.

The provider is located at 4040 E BROAD ST COLUMBUS, OH 43213 and the phone number is (614) 705-2767.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.