LOUISVILLE OCD CLINIC
NPI 1568971950
Clinic/Center - Adult Mental Health in Louisville, KY

NPI Status: Active since September 28, 2017

Contact Information

11824 RANSUM DR STE 100
LOUISVILLE, KY
ZIP 40243
Phone: (502) 338-0608
Fax: (502) 245-1888

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  • Organization
  • Clinic/Center
  • Adult Mental Health
  • CLIA Number: 18D2175587
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 11-24-2025

About LOUISVILLE OCD CLINIC

This page provides the complete NPI Profile along with additional information for Louisville Ocd Clinic, a provider established in Louisville, Kentucky operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1568971950 assigned on September 2017. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Louisville Ocd Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Louisville Ocd Clinic. The authorized official of this NPI record is Mr. Justin Brent Wallen J.d. (Business Manager)

NPI
1568971950
Provider Legal Name
BE WELL PROVIDERS, LLC
Other Organization Name
LOUISVILLE OCD CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
11824 RANSUM DR STE 100 LOUISVILLE, KY 40243
Location Phone
(502) 338-0608
Location Fax
(502) 245-1888
Mailing Address
2107 STRATHMOOR BLVD LOUISVILLE, KY 40205
Mailing Phone
(502) 319-3105
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2017
Last Update Date
05-25-2021
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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

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

 

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

MR. JUSTIN BRENT WALLEN J.D.

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(502) 319-3105

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
18D2175587
Facility Type
Practitioner Other
Certificate Effective Date
November 25, 2023
Certificate Expiration Date
November 24, 2025
Laboratory Director
MR. JUSTIN B. WALLEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Louisville Ocd Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1568971950, 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
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 6 → 12 → 3 9 → 18 → 9 1 → 2 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 2 + 8 + 1 + 8 + 7 + 2 + 9 + 1 + 0 + 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 1568971950.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor
11824 RANSUM DR STE 100
LOUISVILLE, KY 40243
Student in an Organized Health Care Education/Training Program
11824 RANSUM DR STE 100
LOUISVILLE, KY 40243
Psychologist
11824 RANSUM DR STE 100
LOUISVILLE, KY 40243

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568971950, enumerated as an "organization" on September 28, 2017.

The provider is located at 11824 RANSUM DR STE 100 LOUISVILLE, KY 40243 and the phone number is (502) 338-0608.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.