REBIRTH COUNSELING, PLLC
NPI 1336702661
Clinic/Center - Mental Health (Including Community Mental Health Center) in Kilgore, TX

NPI Status: Active since April 22, 2019

Contact Information

1100 STONE RD STE 103
KILGORE, TX
ZIP 75662
Phone: (466) 608-0295

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About REBIRTH COUNSELING, PLLC

This page provides the complete NPI Profile along with additional information for Rebirth Counseling, Pllc, a provider established in Kilgore, Texas operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1336702661 assigned on April 2019. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Crystal Dudley Lpc (Owner)

NPI
1336702661
Provider Name
REBIRTH COUNSELING, PLLC
Entity Type
Organization
Location Address
1100 STONE RD STE 103 KILGORE, TX 75662
Location Phone
(466) 608-0295
Mailing Address
1100 STONE RD STE 103 KILGORE, TX 75662
Mailing Phone
(466) 608-0295
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2019
Last Update Date
02-04-2020
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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

MS. CRYSTAL DUDLEY LPC

Authorized Official Title
OWNER
Authorized Official Phone
(469) 608-0295

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
3921009-01MEDICAID (05)TX 

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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.
1336702661
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23661404612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 4 + 0 + 4 + 6 + 1 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1336702661 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

REBIRTH COUNSELING, LLC

Counselor

(Professional)

1100 STONE RD STE 103
KILGORE, TX
ZIP 75662

(469) 608-0295

MS. CRYSTAL DIONNE DUDLEY LPC, LCDC

Counselor

(Professional)

1100 STONE RD STE 103
KILGORE, TX
ZIP 75662

(469) 608-0295

REBIRTH COUNSELING, PLLC

Counselor

(Professional)

1100 STONE RD STE 103
KILGORE, TX
ZIP 75662

(469) 608-0295

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336702661, enumerated as an "organization" on April 22, 2019.

The provider is located at 1100 STONE RD STE 103 KILGORE, TX 75662 and the phone number is (466) 608-0295.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

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