JOURNEY OF GRACE
NPI 1619325164
Community/Behavioral Health in Appleton, WI

NPI Status: Active since May 25, 2016

Contact Information

5497 W WATERFORD LN
SUITE A
APPLETON, WI
ZIP 54913
Phone: (920) 750-6120
Fax: (920) 750-6121

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  • Organization
  • Community/Behavioral Health

About JOURNEY OF GRACE

This page provides the complete NPI Profile along with additional information for Journey Of Grace, a provider established in Appleton, Wisconsin operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1619325164 assigned on May 2016. The practitioner's primary taxonomy code is 251S00000X with license number 5970-125 (WI). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Journey Of Grace. The authorized official of this NPI record is Mr. Deborah Ann Bongers Lpc (Licensed Professional Counselor)

NPI
1619325164
Provider Legal Name
JOURNEY OF GRACE COUNSELING LLC
Other Organization Name
JOURNEY OF GRACE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
5497 W WATERFORD LN SUITE A APPLETON, WI 54913
Location Phone
(920) 750-6120
Location Fax
(920) 750-6121
Mailing Address
2636 W SUNNYVIEW CIR APPLETON, WI 54914
Mailing Phone
(920) 750-6120
Mailing Fax
(920) 750-6121
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2016
Last Update Date
05-25-2016
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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
License No.
5970-125
License State
WI
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.

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. DEBORAH ANN BONGERS LPC

Authorized Official Title
LICENSED PROFESSIONAL COUNSELOR
Authorized Official Phone
(920) 750-6120

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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 1619325164, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 6 + 2 + 1 + 0 + 1 + 1 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1619325164.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Counselor (Professional)
5497 W WATERFORD LN, SUITE A
APPLETON, WI 54913
Community/Behavioral Health
5497 W WATERFORD LN, SUITE A
APPLETON, WI 54913
Counselor
5497 W WATERFORD LN, SUITE A
APPLETON, WI 54913
Counselor (Professional)
5497 W WATERFORD LN
APPLETON, WI 54913
Clinic/Center (Mental Health (Including Community Mental Health Center))
5497 W WATERFORD LN
APPLETON, WI 54913

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619325164, enumerated as an "organization" on May 25, 2016.

The provider is located at 5497 W WATERFORD LN SUITE A APPLETON, WI 54913 and the phone number is (920) 750-6120.

Community/Behavioral Health with taxonomy code 251S00000X.