CLINTON LEE BROGDON LPC
NPI 1457880684
Counselor - Professional in Fairfax, VA

NPI Status: Active since June 10, 2017

Contact Information

11204 WAPLES MILL RD
FAIRFAX, VA
ZIP 22030
Phone: (703) 218-8500
Fax: (703) 359-0463

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Secondary Locations
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Counselor
Professional

About CLINTON BROGDON

This page provides the complete NPI Profile along with additional information for Clinton Brogdon, a provider established in Fairfax, Virginia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1457880684 assigned on June 2017. The practitioner's primary taxonomy code is 101YP2500X with license number 0701007411 (VA). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI: 1457880684
Provider Name: CLINTON LEE BROGDON LPC
Gender: Male
Entity Type: Individual
Location Address: 11204 WAPLES MILL RD FAIRFAX, VA 22030
Location Phone: (703) 218-8500
Location Fax: (703) 359-0463
Mailing Address: PO BOX 230444 CENTREVILLE, VA 20120
Mailing Phone: (571) 528-0805
Is Sole Proprietor?: Yes
Enumeration Date: 06-10-2017
Last Update Date: 04-01-2020
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Location Map

Secondary Locations

14143 Robert Paris Ct
Chantilly, VA 20151
(571) 528-0805

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 Professional
Taxonomy Code: 101YP2500X
Type: Behavioral Health & Social Service Providers
License No.: 0701007411
License State: VA

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)
1	101YP2500X	Behavioral Health & Social Service Providers	Counselor Professional

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 1457880684, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 10 → 1 + 0

Pos 4

Unchanged

Pos 5

Doubled → 16 → 1 + 6

Pos 6

Unchanged

Pos 7

Doubled → 0

Pos 8

Unchanged

Pos 9

Doubled → 16 → 1 + 6

Check

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 5 → 10 → 1 8 → 16 → 7 0 → 0 8 → 16 → 7