CREATIVE THERAPY ADDICTION PROGRAM
NPI 1508234295
Community/Behavioral Health in Valley City, ND

NPI Status: Active since September 11, 2015

Contact Information

150 2ND ST SW
#1
VALLEY CITY, ND
ZIP 58072
Phone: (701) 490-3281
Fax: (701) 490-3283

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  • Organization
  • Community/Behavioral Health

About CREATIVE THERAPY ADDICTION PROGRAM

This page provides the complete NPI Profile along with additional information for Creative Therapy Addiction Program, a provider established in Valley City, North Dakota operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1508234295 assigned on September 2015. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Creative Therapy Addiction Program. The authorized official of this NPI record is Jennifer L Eberle Lpc (President/ Mental Health Counselor)

NPI
1508234295
Provider Legal Name
CREATIVE THERAPY PLLC
Other Organization Name
CREATIVE THERAPY ADDICTION PROGRAM
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
150 2ND ST SW #1 VALLEY CITY, ND 58072
Location Phone
(701) 490-3281
Location Fax
(701) 490-3283
Mailing Address
150 2ND ST SW #1 VALLEY CITY, ND 58072
Mailing Phone
(701) 490-3281
Mailing Fax
(701) 490-3283
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2015
Last Update Date
09-11-2015
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License State
ND
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

JENNIFER L EBERLE LPC

Authorized Official Title
PRESIDENT/ MENTAL HEALTH COUNSELOR
Authorized Official Phone
(701) 490-3281

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
56667MEDICAID (05)ND 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508234295
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508438218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 4 + 3 + 8 + 2 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1508234295 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508234295, enumerated as an "organization" on September 11, 2015.

The provider is located at 150 2ND ST SW #1 VALLEY CITY, ND 58072 and the phone number is (701) 490-3281.

Community/Behavioral Health with taxonomy code 251S00000X.

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