SOUTHSIDE COUNSELING BIOFEEDBACK AND STRESS MANAGEMENT CENTER
NPI 1679637961
Counselor in Jacksonville, FL
NPI Status: Active since December 20, 2006
Contact Information
5730 BOWDEN RD
105
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 737-6700
Fax: (904) 737-6774
- Organization
- Counselor
- Accepts Insurance
- CLIA Number: 10D1031688
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-06-2026
About SOUTHSIDE COUNSELING BIOFEEDBACK AND STRESS MANAGEMENT CENTER
This page provides the complete NPI Profile along with additional information for Southside Counseling Biofeedback And Stress Management Center, a provider established in Jacksonville, Florida operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1679637961 assigned on December 2006. The practitioner's primary taxonomy code is 101Y00000X with license number MH0003114 (FL). The provider is registered as an organization and their NPI record was last updated 18 years ago. Southside Counseling Biofeedback And Stress Management Center 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. Solomon Stanford (Office Manager)
- NPI
- 1679637961
- Provider Name
- SOUTHSIDE COUNSELING BIOFEEDBACK AND STRESS MANAGEMENT CENTER
- Entity Type
- Organization
- Location Address
- 5730 BOWDEN RD 105 JACKSONVILLE, FL 32216
- Location Phone
- (904) 737-6700
- Location Fax
- (904) 737-6774
- Mailing Address
- 5730 BOWDEN RD 105 JACKSONVILLE, FL 32216
- Mailing Phone
- (904) 737-6700
- Mailing Fax
- (904) 737-6774
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-20-2006
- Last Update Date
- 04-16-2008
- 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
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- MH0003114
- License State
- FL
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Catastrophic (+ Incentives) - HMO
- Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
*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
- 10D1031688
- Facility Type
- Physician Office
- Certificate Effective Date
- October 07, 2024
- Certificate Expiration Date
- October 06, 2026
- Laboratory Director
- SUPARNA GULANI MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southside Counseling Biofeedback And Stress Management Center 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.
Reviews for SOUTHSIDE COUNSELING BIOFEEDBACK AND STRESS MANAGEMENT CENTER
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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 1679637961, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
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 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
JACKSONVILLE, FL 32216
JACKSONVILLE, FL 32216
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679637961, enumerated as an "organization" on December 20, 2006.
The provider is located at 5730 BOWDEN RD 105 JACKSONVILLE, FL 32216 and the phone number is (904) 737-6700.
Counselor with taxonomy code 101Y00000X.
The provider might be accepting Accepts: Wellpoint. Please consult your insurance carrier or call the provider to verify.
