STONEBRIDGE FAMILY COUNSELING
NPI 1548793441
Community Based Residential Treatment Facility, Mental Illness in Fayetteville, TN

NPI Status: Active since April 06, 2017

Contact Information

209 EDISON ST E
FAYETTEVILLE, TN
ZIP 37334
Phone: (615) 516-3825

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  • Organization
  • Community Based Residential Treatment Fa...
  • CLIA Number: 44D0857681
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-22-2026

About STONEBRIDGE FAMILY COUNSELING

This page provides the complete NPI Profile along with additional information for Stonebridge Family Counseling, a provider established in Fayetteville, Tennessee operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1548793441 assigned on April 2017. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Andrew Lyon Mmft (Owner)

NPI
1548793441
Provider Name
STONEBRIDGE FAMILY COUNSELING
Entity Type
Organization
Location Address
209 EDISON ST E FAYETTEVILLE, TN 37334
Location Phone
(615) 516-3825
Mailing Address
209 EDISON ST E FAYETTEVILLE, TN 37334
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-06-2017
Last Update Date
04-06-2017
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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 Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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

ANDREW LYON MMFT

Authorized Official Title
OWNER
Authorized Official Phone
(615) 516-3825

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
44D0857681
Facility Type
Physician Office
Certificate Effective Date
June 23, 2024
Certificate Expiration Date
June 22, 2026
Laboratory Director
DR. THERESA T. MORRISON
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Stonebridge Family Counseling in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1548793441, we treat the final digit (1) 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 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).

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
5
Unchanged
Pos 3
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
1
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 4 → 8 7 → 14 → 5 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 8 + 8 + 1 + 4 + 9 + 6 + 4 + 8 + 24 = 79

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

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1548793441.

Other Providers at the Same Location


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

Marriage & Family Therapist
209 EDISON ST E
FAYETTEVILLE, TN 37334

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548793441, enumerated as an "organization" on April 06, 2017.

The provider is located at 209 EDISON ST E FAYETTEVILLE, TN 37334 and the phone number is (615) 516-3825.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.