MIND BODY PROFESSIONAL CENTER
NPI 1578974143
Psychologist - Counseling in Puyallup, WA

NPI Status: Active since May 16, 2014

Contact Information

15406 MERIDIAN E STE 103
PUYALLUP, WA
ZIP 98375
Phone: (253) 278-9292
Fax: (253) 604-6237

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  • Organization
  • Psychologist
  • Counseling
  • Accepts Insurance

About MIND BODY PROFESSIONAL CENTER

This page provides the complete NPI Profile along with additional information for Mind Body Professional Center, a provider established in Puyallup, Washington operating as a Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1578974143 assigned on May 2014. The practitioner's primary taxonomy code is 103TC1900X with license number PY60318110 (WA). The provider is registered as an organization and their NPI record was last updated 12 years ago. Mind Body Professional Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Rebecca Lynn Beutler Edd (Manager)

NPI
1578974143
Provider Name
MIND BODY PROFESSIONAL CENTER
Entity Type
Organization
Location Address
15406 MERIDIAN E STE 103 PUYALLUP, WA 98375
Location Phone
(253) 278-9292
Location Fax
(253) 604-6237
Mailing Address
PO BOX 1331 PUYALLUP, WA 98371
Mailing Phone
(253) 278-9292
Mailing Fax
(253) 604-6237
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2014
Last Update Date
05-16-2014
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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

Psychologist Counseling

Taxonomy Code
103TC1900X
Type
Behavioral Health & Social Service Providers
License No.
PY60318110
License State
WA
Taxonomy Description
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*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

REBECCA LYNN BEUTLER EDD

Authorized Official Title
MANAGER
Authorized Official Phone
(253) 278-9292

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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 1578974143, we treat the final digit (3) 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

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
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
3
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 9 → 18 → 9 4 → 8 4 → 8

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 + 1 + 8 + 7 + 8 + 1 + 8 + 24 = 77

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

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1578974143.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Community/Behavioral Health
15406 MERIDIAN E STE 103
PUYALLUP, WA 98375
Behavior Technician
15406 MERIDIAN E STE 103
PUYALLUP, WA 98375
Behavior Analyst
15406 MERIDIAN E STE 103
PUYALLUP, WA 98375
Behavior Analyst
15406 MERIDIAN E STE 103
PUYALLUP, WA 98375

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578974143, enumerated as an "organization" on May 16, 2014.

The provider is located at 15406 MERIDIAN E STE 103 PUYALLUP, WA 98375 and the phone number is (253) 278-9292.

Psychologist with taxonomy code 103TC1900X and a focus in Counseling.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.