EVOLVE
NPI 1659731073
Counselor - Professional in Appleton, WI
NPI Status: Active since February 26, 2016
Contact Information
3416 N ASSOCIATION DR
APPLETON, WI
ZIP 54914
Phone: (920) 364-9078
Fax: (920) 243-1792
- Organization
- Counselor
- Professional
- CLIA Number: 52D2243854
- CLIA Cert. Type: Other - EATING DISORDER TREATMENT
- CLIA Exp. Date: 11-22-2025
About EVOLVE
This page provides the complete NPI Profile along with additional information for Evolve, a provider established in Appleton, Wisconsin operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1659731073 assigned on February 2016. The practitioner's primary taxonomy code is 101YP2500X with license number 5873125 (WI). The provider is registered as an organization and their NPI record was last updated 10 years ago. Evolve operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Evolve. The authorized official of this NPI record is Mrs. Brenda Velissaris Mse, Lpc, Ncc (Clinical Director/owner)
- NPI
- 1659731073
- Provider Legal Name
- SARIS COUNSELING
- Other Organization Name
- EVOLVE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3416 N ASSOCIATION DR APPLETON, WI 54914
- Location Phone
- (920) 364-9078
- Location Fax
- (920) 243-1792
- Mailing Address
- 3416 N ASSOCIATION DR APPLETON, WI 54914
- Mailing Phone
- (920) 364-9078
- Mailing Fax
- (920) 243-1792
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-26-2016
- Last Update Date
- 02-26-2016
- Code Navigator
Location Map
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.
- 5873125
- License State
- WI
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.
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
- 52D2243854
- Facility Type
- Other - EATING DISORDER TREATMENT
- Certificate Effective Date
- November 23, 2023
- Certificate Expiration Date
- November 22, 2025
- Laboratory Director
- KRISTA S. CORNELIUS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Evolve 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 1659731073, 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659731073, enumerated as an "organization" on February 26, 2016.
The provider is located at 3416 N ASSOCIATION DR APPLETON, WI 54914 and the phone number is (920) 364-9078.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
