METHODIST COUNSELING CLINIC - FAYETTEVILLE
NPI 1417111048
Clinic/Center - Adolescent and Children Mental Health in Fayetteville, AR

NPI Status: Active since July 13, 2008

Contact Information

74 W SUNBRIDGE DR
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 582-5565
Fax: (479) 582-5574

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About METHODIST COUNSELING CLINIC - FAYETTEVILLE

This page provides the complete NPI Profile along with additional information for Methodist Counseling Clinic - Fayetteville, a provider established in Fayetteville, Arkansas operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1417111048 assigned on July 2008. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Methodist Counseling Clinic - Fayetteville. The authorized official of this NPI record is Mr. Lesley Don Cole (Cfo)

NPI
1417111048
Provider Legal Name
UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC.
Other Organization Name
METHODIST COUNSELING CLINIC - FAYETTEVILLE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
74 W SUNBRIDGE DR FAYETTEVILLE, AR 72703
Location Phone
(479) 582-5565
Location Fax
(479) 582-5574
Mailing Address
1600 ALDERSGATE RD SUITE 200 LITTLE ROCK, AR 72205
Mailing Phone
(501) 661-0720
Mailing Fax
(479) 582-5574
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2008
Last Update Date
04-07-2016
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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 Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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

MR. LESLEY DON COLE

Authorized Official Title
CFO
Authorized Official Phone
(501) 661-0720

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
174676526MEDICAID (05)AR 

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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 1417111048, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 2 + 1 + 2 + 0 + 8 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1417111048.

Other Providers at the Same Location


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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
74 W SUNBRIDGE DR, SUITE 1
FAYETTEVILLE, AR 72703
Case Manager/Care Coordinator
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Case Manager/Care Coordinator
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Case Manager/Care Coordinator
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Counselor (Mental Health)
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Counselor (Mental Health)
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Case Manager/Care Coordinator
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Social Worker (Clinical)
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Case Manager/Care Coordinator
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Counselor (Professional)
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Case Manager/Care Coordinator
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Social Worker
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Counselor (Mental Health)
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Counselor (Mental Health)
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Counselor (Mental Health)
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Counselor (Professional)
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Counselor (Mental Health)
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Counselor (Mental Health)
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Counselor (Mental Health)
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Counselor (Professional)
74 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417111048, enumerated as an "organization" on July 13, 2008.

The provider is located at 74 W SUNBRIDGE DR FAYETTEVILLE, AR 72703 and the phone number is (479) 582-5565.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.

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