MRS. DESRA MACK LPC
NPI 1588761530
Counselor - Professional in Elizabeth City, NC

NPI Status: Active since September 20, 2006

Contact Information

1141 N ROAD ST
SUITE L
ELIZABETH CITY, NC
ZIP 27909
Phone: (252) 335-0803
Fax: (252) 331-1796

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  • Individual
  • Female
  • Counselor
  • Professional

About DESRA MACK

This page provides the complete NPI Profile along with additional information for Desra Mack, a provider established in Elizabeth City, North Carolina with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1588761530 assigned on September 2006. The practitioner's primary taxonomy code is 101YP2500X with license number 5415 (NC). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1588761530
Provider Name
MRS. DESRA MACK LPC
Gender
Female
Entity Type
Individual
Location Address
1141 N ROAD ST SUITE L ELIZABETH CITY, NC 27909
Location Phone
(252) 335-0803
Location Fax
(252) 331-1796
Mailing Address
4300 SAPPHIRE CT STE 110 GREENVILLE, NC 27834
Mailing Phone
(252) 830-7540
Mailing Fax
(252) 331-1796
Is Sole Proprietor?
No
Enumeration Date
09-20-2006
Last Update Date
03-01-2011
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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

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
5415
License State
NC

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.

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
6103306MEDICAID (05)NC 

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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 1588761530, 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
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
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 8 → 16 → 7 7 → 14 → 5 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 6 + 8 + 1 + 4 + 6 + 2 + 5 + 6 + 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 1588761530.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
1141 N ROAD ST, SUITE G
ELIZABETH CITY, NC 27909
Physician Assistant (Medical)
1141 N ROAD ST, SUITE G
ELIZABETH CITY, NC 27909
Obstetrics & Gynecology
1141 N ROAD ST, SUITE I
ELIZABETH CITY, NC 27909
Obstetrics & Gynecology
1141 N ROAD ST, SUITE I
ELIZABETH CITY, NC 27909
Specialist
1141 N ROAD ST, SUITE M
ELIZABETH CITY, NC 27909
Specialist
1141 N ROAD ST, SUITE M
ELIZABETH CITY, NC 27909
Family Medicine
1141 N ROAD ST, SUITE G
ELIZABETH CITY, NC 27909
Physician Assistant
1141 N ROAD ST, SUITE G
ELIZABETH CITY, NC 27909
Obstetrics & Gynecology
1141 N ROAD ST, SUITE I
ELIZABETH CITY, NC 27909
Plastic Surgery
1141 N ROAD ST, SUITE K
ELIZABETH CITY, NC 27909
Dietitian, Registered
1141 N ROAD ST, SUITE K
ELIZABETH CITY, NC 27909
Pharmacist
1141 N ROAD ST, SUITE A1
ELIZABETH CITY, NC 27909
Pharmacist
1141 N ROAD ST
ELIZABETH CITY, NC 27909
Pharmacy (Community/Retail Pharmacy)
1141 N ROAD ST
ELIZABETH CITY, NC 27909
Plastic Surgery
1141 N ROAD ST, SUITE K
ELIZABETH CITY, NC 27909
Family Medicine
1141 N ROAD ST, SUITE G
ELIZABETH CITY, NC 27909
Physician Assistant (Medical)
1141 N ROAD ST, SUITE G
ELIZABETH CITY, NC 27909
Family Medicine
1141 N ROAD ST, STE G
ELIZABETH CITY, NC 27909
Social Worker (Clinical)
1141 N ROAD ST, STE L
ELIZABETH CITY, NC 27909
Counselor (Addiction (Substance Use Disorder))
1141 N ROAD ST, SUITE L
ELIZABETH CITY, NC 27909

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588761530, enumerated as an "individual" on September 20, 2006.

The provider is located at 1141 N ROAD ST SUITE L ELIZABETH CITY, NC 27909 and the phone number is (252) 335-0803.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

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