NORTHWEST CHRISTIAN COUNSELING, LLC
NPI 1639396443
Counselor - Professional in Glendale, AZ

NPI Status: Active since April 20, 2007

Contact Information

17505 N 79TH AVE
SUITE 111-A
GLENDALE, AZ
ZIP 85308
Phone: (623) 680-8172

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  • Organization
  • Counselor
  • Professional
  • CLIA Number: 03D1067764
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-24-2027

About NORTHWEST CHRISTIAN COUNSELING, LLC

This page provides the complete NPI Profile along with additional information for Northwest Christian Counseling, Llc, a provider established in Glendale, Arizona operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1639396443 assigned on April 2007. The practitioner's primary taxonomy code is 101YP2500X with license number LPC11281 (AZ). The provider is registered as an organization and their NPI record was last updated 6 years ago. Northwest Christian Counseling, Llc 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 Mr. Chris S. Andersen Ma, Lpc (Member)

NPI
1639396443
Provider Name
NORTHWEST CHRISTIAN COUNSELING, LLC
Entity Type
Organization
Location Address
17505 N 79TH AVE SUITE 111-A GLENDALE, AZ 85308
Location Phone
(623) 680-8172
Mailing Address
17505 N 79TH AVE SUITE 111-A GLENDALE, AZ 85308
Mailing Phone
(623) 680-8172
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-20-2007
Last Update Date
08-22-2020
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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.
LPC11281
License State
AZ

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.

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. CHRIS S. ANDERSEN MA, LPC

Authorized Official Title
MEMBER
Authorized Official Phone
(623) 680-8172

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
03D1067764
Facility Type
Physician Office
Certificate Effective Date
April 25, 2025
Certificate Expiration Date
April 24, 2027
Laboratory Director
RAMON C. PASCUA, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Northwest Christian Counseling, Llc 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 1639396443, 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
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
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 3 → 6 3 → 6 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 6 + 9 + 1 + 2 + 4 + 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 1639396443.

Other Providers at the Same Location


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

Marriage & Family Therapist
17505 N 79TH AVE, SUITE 311
GLENDALE, AZ 85308
Counselor (Professional)
17505 N 79TH AVE, SUITE 311
GLENDALE, AZ 85308
Counselor (Professional)
17505 N 79TH AVE, STE 111E
GLENDALE, AZ 85308
Dietitian, Registered
17505 N 79TH AVE, SUITE 110
GLENDALE, AZ 85308
Dietitian, Registered
17505 N 79TH AVE, SUITE 110
GLENDALE, AZ 85308
Dietitian, Registered
17505 N 79TH AVE, SUITE 110
GLENDALE, AZ 85308
Psychologist
17505 N 79TH AVE, SUITE 315
GLENDALE, AZ 85308
Dietitian, Registered
17505 N 79TH AVE, SUITE 110
GLENDALE, AZ 85308
Counselor (Mental Health)
17505 N 79TH AVE, SUITE 410D
GLENDALE, AZ 85308
Counselor (Mental Health)
17505 N 79TH AVE, STE. 311C
GLENDALE, AZ 85308
Clinic/Center (Adult Mental Health)
17505 N 79TH AVE, SUITE 315
GLENDALE, AZ 85308
Community/Behavioral Health
17505 N 79TH AVE, STE. 311C
GLENDALE, AZ 85308
Dietitian, Registered
17505 N 79TH AVE, SUITE 407
GLENDALE, AZ 85308
Dietitian, Registered
17505 N 79TH AVE, SUITE 407
GLENDALE, AZ 85308
Counselor (Professional)
17505 N 79TH AVE, SUITE 111C
GLENDALE, AZ 85308
Counselor
17505 N 79TH AVE, SUITE 111-C
GLENDALE, AZ 85308
Psychologist
17505 N 79TH AVE, SUITE 315
GLENDALE, AZ 85308
Occupational Therapist
17505 N 79TH AVE
GLENDALE, AZ 85308
Community/Behavioral Health
17505 N 79TH AVE, SUITE 213-E
GLENDALE, AZ 85308
Marriage & Family Therapist
17505 N 79TH AVE, SUITE 213-D
GLENDALE, AZ 85308

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639396443, enumerated as an "organization" on April 20, 2007.

The provider is located at 17505 N 79TH AVE SUITE 111-A GLENDALE, AZ 85308 and the phone number is (623) 680-8172.

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