PHOENIX RISINGS COUNSELING CENTER LLC
NPI 1417479056
Social Worker - Clinical in Irvington, NJ

NPI Status: Active since July 14, 2017

Contact Information

50 UNION AVE STE 804B
IRVINGTON, NJ
ZIP 07111
Phone: (770) 568-0619
Fax: (973) 629-1741

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  • Organization
  • Social Worker
  • Clinical

About PHOENIX RISINGS COUNSELING CENTER LLC

This page provides the complete NPI Profile along with additional information for Phoenix Risings Counseling Center Llc, a provider established in Irvington, New Jersey operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1417479056 assigned on July 2017. The practitioner's primary taxonomy code is 1041C0700X with license number 44SC05717900 (NJ). The provider is registered as an organization and their NPI record was last updated 9 years ago. Phoenix Risings Counseling Center Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Lynne Chantel Holley Lcsw Lcadc (Executive Director)

NPI
1417479056
Provider Name
PHOENIX RISINGS COUNSELING CENTER LLC
Entity Type
Organization
Location Address
50 UNION AVE STE 804B IRVINGTON, NJ 07111
Location Phone
(770) 568-0619
Location Fax
(973) 629-1741
Mailing Address
PO BOX 358 SOUTH ORANGE, NJ 07079
Mailing Phone
(770) 568-0619
Mailing Fax
(973) 629-1741
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-14-2017
Last Update Date
08-21-2017
Code Navigator

A clinical social worker like Phoenix Risings Counseling Center Llc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
44SC05717900
License State
NJ
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

37LC00259900 (NJ)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

LYNNE CHANTEL HOLLEY LCSW LCADC

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(973) 393-0312

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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 1417479056, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
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 4 → 8 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 8 + 7 + 1 + 8 + 0 + 1 + 0 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1417479056.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Social Worker
50 UNION AVE STE 804B
IRVINGTON, NJ 07111
Clinic/Center (Mental Health (Including Community Mental Health Center))
50 UNION AVE STE 804B
IRVINGTON, NJ 07111
Social Worker (Clinical)
50 UNION AVE STE 804B
IRVINGTON, NJ 07111
Counselor (Mental Health)
50 UNION AVE STE 804B
IRVINGTON, NJ 07111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417479056, enumerated as an "organization" on July 14, 2017.

The provider is located at 50 UNION AVE STE 804B IRVINGTON, NJ 07111 and the phone number is (770) 568-0619.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.