GENESIS PROJECT 1
NPI 1417364480
Point of Service in Charlotte, NC

NPI Status: Active since July 22, 2014

Contact Information

5108 REAGAN DR
SUITE 14
CHARLOTTE, NC
ZIP 28206
Phone: (704) 596-0505
Fax: (704) 596-0507

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  • Organization
  • Point of Service

About GENESIS PROJECT 1

This page provides the complete NPI Profile along with additional information for Genesis Project 1, a provider established in Charlotte, North Carolina operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1417364480 assigned on July 2014. The practitioner's primary taxonomy code is 305S00000X with license number P009049 (NC). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Trasha Black Phd (Clinical Director)

NPI
1417364480
Provider Name
GENESIS PROJECT 1
Entity Type
Organization
Location Address
5108 REAGAN DR SUITE 14 CHARLOTTE, NC 28206
Location Phone
(704) 596-0505
Location Fax
(704) 596-0507
Mailing Address
5108 REAGAN DR SUITE 14 CHARLOTTE, NC 28206
Mailing Phone
(704) 596-0505
Mailing Fax
(704) 596-0507
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2014
Last Update Date
07-22-2014
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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

Point of Service

Taxonomy Code
305S00000X
Type
Managed Care Organizations
License No.
P009049
License State
NC
Taxonomy Description
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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. TRASHA BLACK PHD

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(704) 596-0505

Reviews for GENESIS PROJECT 1

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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 1417364480, 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.

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
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 4 → 8 8 → 16 → 7

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 + 6 + 8 + 4 + 1 + 6 + 24 = 70

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.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1417364480.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Occupational Therapist
5108 REAGAN DR, SUITE 10
CHARLOTTE, NC 28206
Respite Care
5108 REAGAN DR, SUITE 10
CHARLOTTE, NC 28206
Counselor (Mental Health)
5108 REAGAN DR, SUITE 14
CHARLOTTE, NC 28206
Counselor (Mental Health)
5108 REAGAN DR, SUITE 14
CHARLOTTE, NC 28206
Psychologist
5108 REAGAN DR, SUITE 14
CHARLOTTE, NC 28206
Social Worker (Clinical)
5108 REAGAN DR
CHARLOTTE, NC 28206
Counselor (Professional)
5108 REAGAN DR
CHARLOTTE, NC 28206
Clinic/Center (Mental Health (Including Community Mental Health Center))
5108 REAGAN DR
CHARLOTTE, NC 28206
Social Worker (Clinical)
5108 REAGAN DR
CHARLOTTE, NC 28206
Counselor (Addiction (Substance Use Disorder))
5108 REAGAN DR
CHARLOTTE, NC 28206
Counselor (Mental Health)
5108 REAGAN DR
CHARLOTTE, NC 28206

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417364480, enumerated as an "organization" on July 22, 2014.

The provider is located at 5108 REAGAN DR SUITE 14 CHARLOTTE, NC 28206 and the phone number is (704) 596-0505.

Point of Service with taxonomy code 305S00000X.