DOUGLAS INTEGRATED COUNSELING CLINIC
NPI 1578033809
Community/Behavioral Health in Douglas, AZ

NPI Status: Active since November 29, 2018

Contact Information

1100 N F AVE
DOUGLAS, AZ
ZIP 85607
Phone: (520) 364-3630
Fax: (520) 586-6104

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  • Organization
  • Community/Behavioral Health

About DOUGLAS INTEGRATED COUNSELING CLINIC

This page provides the complete NPI Profile along with additional information for Douglas Integrated Counseling Clinic, a provider established in Douglas, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1578033809 assigned on November 2018. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Douglas Integrated Counseling Clinic. The authorized official of this NPI record is Estella Hernandez Mba (Contracts & Credentialing Admin)

NPI
1578033809
Provider Legal Name
SOUTH EASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC.
Other Organization Name
DOUGLAS INTEGRATED COUNSELING CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1100 N F AVE DOUGLAS, AZ 85607
Location Phone
(520) 364-3630
Location Fax
(520) 586-6104
Mailing Address
611 W UNION ST BENSON, AZ 85602
Mailing Phone
(520) 586-0800
Mailing Fax
(520) 586-6104
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2018
Last Update Date
06-10-2022
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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
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

ESTELLA HERNANDEZ MBA

Authorized Official Title
CONTRACTS & CREDENTIALING ADMIN
Authorized Official Phone
(520) 838-5513

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
478436MEDICAID (05)AZ 
OTC-9263OTHER (01)AZADHS LICENSING

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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 1578033809, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
9
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 7 → 14 → 5 0 → 0 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 4 + 8 + 0 + 3 + 6 + 8 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1578033809.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Social Worker (Clinical)
1100 N F AVE
DOUGLAS, AZ 85607
Nurse Practitioner (Primary Care)
1100 N F AVE
DOUGLAS, AZ 85607
Nurse Practitioner (Family)
1100 N F AVE
DOUGLAS, AZ 85607
Nurse Practitioner (Family)
1100 N F AVE
DOUGLAS, AZ 85607
Nurse Practitioner (Family)
1100 N F AVE
DOUGLAS, AZ 85607
Nurse Practitioner (Family)
1100 N F AVE
DOUGLAS, AZ 85607
Clinic/Center (Federally Qualified Health Center (FQHC))
1100 N F AVE
DOUGLAS, AZ 85607
Nurse Practitioner (Family)
1100 N F AVE
DOUGLAS, AZ 85607
Social Worker
1100 N F AVE
DOUGLAS, AZ 85607
Dietitian, Registered
1100 N F AVE
DOUGLAS, AZ 85607
Counselor (Professional)
1100 N F AVE
DOUGLAS, AZ 85607
Nurse Practitioner (Family)
1100 N F AVE
DOUGLAS, AZ 85607

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578033809, enumerated as an "organization" on November 29, 2018.

The provider is located at 1100 N F AVE DOUGLAS, AZ 85607 and the phone number is (520) 364-3630.

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.