GERALD BERNARD HARRIS NBC-HWC
NPI 1609641109
Health and Wellness Coach in Grand Rapids, MI

NPI Status: Active since November 15, 2023

Contact Information

1809 DIVISION AVE S
GRAND RAPIDS, MI
ZIP 49507
Phone: (616) 304-0364
Fax: (616) 304-0364

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  • Individual
  • Male
  • Health and Wellness Coach
  • CLIA Number: 23D0969053
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 01-03-2026

About GERALD HARRIS

This page provides the complete NPI Profile along with additional information for Gerald Harris, a provider established in Grand Rapids, Michigan with a medical specialization in Health And Wellness Coach. The healthcare provider is registered in the NPI registry with number 1609641109 assigned on November 2023. The practitioner's primary taxonomy code is 171400000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1609641109
Provider Name
GERALD BERNARD HARRIS NBC-HWC
Gender
Male
Entity Type
Individual
Location Address
1809 DIVISION AVE S GRAND RAPIDS, MI 49507
Location Phone
(616) 304-0364
Location Fax
(616) 304-0364
Mailing Address
1809 DIVISION AVE S GRAND RAPIDS, MI 49507
Mailing Phone
(616) 304-0364
Is Sole Proprietor?
Yes
Enumeration Date
11-15-2023
Last Update Date
11-15-2023
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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

Health and Wellness Coach

Taxonomy Code
171400000X
Type
Other Service Providers
Taxonomy Description
The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.

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
23D0969053
Facility Type
School/Student Health Service
Certificate Effective Date
January 04, 2024
Certificate Expiration Date
January 03, 2026
Laboratory Director
TINA R. JOHNSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gerald Harris 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 1609641109, 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 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
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
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 0 → 0 6 → 12 → 3 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 0 + 9 + 1 + 2 + 4 + 2 + 1 + 0 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1609641109.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609641109, enumerated as an "individual" on November 15, 2023.

The provider is located at 1809 DIVISION AVE S GRAND RAPIDS, MI 49507 and the phone number is (616) 304-0364.

Health and Wellness Coach with taxonomy code 171400000X.