SAFE ARBOR COUNSELING CENTER
NPI 1336393669
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Springfield, MO

NPI Status: Active since November 13, 2008

Contact Information

2032 E KEARNEY ST STE 214
SPRINGFIELD, MO
ZIP 65803
Phone: (417) 833-8300

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About SAFE ARBOR COUNSELING CENTER

This page provides the complete NPI Profile along with additional information for Safe Arbor Counseling Center, a provider established in Springfield, Missouri operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1336393669 assigned on November 2008. The practitioner's primary taxonomy code is 320900000X with license number 2008032814 (MO). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Safe Arbor Counseling Center. The authorized official of this NPI record is Mr. Tim Lyons Ma. (Lpc)

NPI
1336393669
Provider Legal Name
PRAISE ASSEMBY
Other Organization Name
SAFE ARBOR COUNSELING CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2032 E KEARNEY ST STE 214 SPRINGFIELD, MO 65803
Location Phone
(417) 833-8300
Mailing Address
4010 W HARRISON ST SPRINGFIELD, MO 65802
Mailing Phone
(417) 619-8921
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2008
Last Update Date
11-13-2008
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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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
2008032814
License State
MO
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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)
1251S00000XAgencies

Community/Behavioral Health

2008032814 (MO)

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

MR. TIM LYONS MA.

Authorized Official Title
LPC
Authorized Official Phone
(417) 833-8300

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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.
1336393669
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366696612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 6 + 9 + 6 + 6 + 1 + 2 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1336393669 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

MICHAEL J ROGERS CASAC, LPC

Counselor

(Professional)

2032 E KEARNEY ST STE 214
SPRINGFIELD, MO
ZIP 65803

(417) 869-0700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336393669, enumerated as an "organization" on November 13, 2008.

The provider is located at 2032 E KEARNEY ST STE 214 SPRINGFIELD, MO 65803 and the phone number is (417) 833-8300.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.