MS. MELLISA A CLARK
NPI 1376987370
Counselor in Tacoma, WA
NPI Status: Active since April 20, 2013
Contact Information
1019 PACIFIC AVE STE 1022
TACOMA, WA
ZIP 98402
Phone: (253) 495-9707
- Individual
- Female
- Counselor
- Accepts Insurance
About MELLISA CLARK
This page provides the complete NPI Profile along with additional information for Mellisa Clark, a provider established in Tacoma, Washington with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1376987370 assigned on April 2013. The practitioner's primary taxonomy code is 101Y00000X with license number MC60309925 (WA). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1376987370
- Provider Name
- MS. MELLISA A CLARK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1019 PACIFIC AVE STE 1022 TACOMA, WA 98402
- Location Phone
- (253) 495-9707
- Mailing Address
- 1020 S OXFORD ST TACOMA, WA 98465
- Mailing Phone
- (253) 495-9707
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-20-2013
- Last Update Date
- 02-10-2015
- 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
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- MC60309925
- License State
- WA
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 1376987370, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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 70 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376987370, enumerated as an "individual" on April 20, 2013.
The provider is located at 1019 PACIFIC AVE STE 1022 TACOMA, WA 98402 and the phone number is (253) 495-9707.
Counselor with taxonomy code 101Y00000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
