KERNERSVILLE COUNSELING CENTER PLLC
NPI 1669836136
Community/Behavioral Health in Kernersville, NC
NPI Status: Active since April 11, 2016
Contact Information
210 N MAIN ST STE 210
KERNERSVILLE, NC
ZIP 27284
Phone: (336) 283-3830
Fax: (336) 283-3827
- Organization
- Community/Behavioral Health
- Accepts Insurance
- CLIA Number: 34D2023502
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 06-05-2026
About KERNERSVILLE COUNSELING CENTER PLLC
This page provides the complete NPI Profile along with additional information for Kernersville Counseling Center Pllc, a provider established in Kernersville, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1669836136 assigned on April 2016. The practitioner's primary taxonomy code is 251S00000X with license number 10258 (NC). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Laura Brotherton Lcmhcs (Owner)
- NPI
- 1669836136
- Provider Name
- KERNERSVILLE COUNSELING CENTER PLLC
- Entity Type
- Organization
- Location Address
- 210 N MAIN ST STE 210 KERNERSVILLE, NC 27284
- Location Phone
- (336) 283-3830
- Location Fax
- (336) 283-3827
- Mailing Address
- 210 N MAIN ST STE 210 KERNERSVILLE, NC 27284
- Mailing Phone
- (336) 283-3830
- Mailing Fax
- (336) 283-3827
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-11-2016
- Last Update Date
- 08-22-2022
- Code Navigator
Location Map
Secondary Locations
- 1180 N Main St
Kernersville, NC 27284
(336) 283-3830 - 125 Allen St
Kernersville, NC 27284
(336) 283-3830
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.
- 10258
- License State
- NC
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard A | Nationwide Doctors - PPO
- Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Gold Standard A | Statewide Doctors - HMO
- Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Novant Health - EPO
- Blue Home Bronze Standard | with Novant Health - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 34D2023502
- Facility Type
- Hospital
- Certificate Effective Date
- June 06, 2024
- Certificate Expiration Date
- June 05, 2026
- Laboratory Director
- DR. FARHAN AHMED
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Kernersville Counseling Center Pllc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1669836136, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
KERNERSVILLE, NC 27284
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669836136, enumerated as an "organization" on April 11, 2016.
The provider is located at 210 N MAIN ST STE 210 KERNERSVILLE, NC 27284 and the phone number is (336) 283-3830.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.
