CENTER FOR AUTHENTIC LIVING
NPI 1417318700
Counselor - Mental Health in Park Ridge, IL

NPI Status: Active since March 14, 2016

Contact Information

120 MAIN ST
SUITE 200
PARK RIDGE, IL
ZIP 60068
Phone: (847) 668-4859

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  • Organization
  • Counselor
  • Mental Health
  • CLIA Number: 14D1079694
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 06-19-2026

About CENTER FOR AUTHENTIC LIVING

This page provides the complete NPI Profile along with additional information for Center For Authentic Living, a provider established in Park Ridge, Illinois operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1417318700 assigned on March 2016. The practitioner's primary taxonomy code is 101YM0800X with license number 1326241860 (IL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Mari Richko Nd Lcpc (Owner)

NPI
1417318700
Provider Name
CENTER FOR AUTHENTIC LIVING
Entity Type
Organization
Location Address
120 MAIN ST SUITE 200 PARK RIDGE, IL 60068
Location Phone
(847) 668-4859
Mailing Address
120 MAIN ST SUITE 200 PARK RIDGE, IL 60068
Mailing Phone
(847) 668-4859
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2016
Last Update Date
03-14-2016
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A mental health counselor like Center For Authentic Living provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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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

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
1326241860
License State
IL

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

DR. MARI RICHKO ND LCPC

Authorized Official Title
OWNER
Authorized Official Phone
(847) 668-4869

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
14D1079694
Facility Type
Community Clinic
Certificate Effective Date
June 20, 2024
Certificate Expiration Date
June 19, 2026
Laboratory Director
JOSHUA EVANS M D
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Center For Authentic Living 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.

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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 1417318700, 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
0
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 3 → 6 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 6 + 1 + 1 + 6 + 7 + 0 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1417318700.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Professional)
120 MAIN ST
PARK RIDGE, IL 60068

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417318700, enumerated as an "organization" on March 14, 2016.

The provider is located at 120 MAIN ST SUITE 200 PARK RIDGE, IL 60068 and the phone number is (847) 668-4859.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.