LEAVE YOUR MARK LIFE COACHING
NPI 1699551507
Psychologist - Counseling in Virginia Beach, VA

NPI Status: Active since September 06, 2023

Contact Information

762 INDEPENDENCE BLVD STE 786
VIRGINIA BEACH, VA
ZIP 23455
Phone: (757) 493-1514

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  • Organization
  • Psychologist
  • Counseling

About LEAVE YOUR MARK LIFE COACHING

This page provides the complete NPI Profile along with additional information for Leave Your Mark Life Coaching, a provider established in Virginia Beach, Virginia operating as a Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1699551507 assigned on September 2023. The practitioner's primary taxonomy code is 103TC1900X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Leave Your Mark Life Coaching operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Nickolas Nichols Lmft (Lmft/owner)

NPI
1699551507
Provider Name
LEAVE YOUR MARK LIFE COACHING
Entity Type
Organization
Location Address
762 INDEPENDENCE BLVD STE 786 VIRGINIA BEACH, VA 23455
Location Phone
(757) 493-1514
Mailing Address
762 INDEPENDENCE BLVD STE 786 VIRGINIA BEACH, VA 23455
Mailing Phone
(757) 493-1514
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2023
Last Update Date
09-06-2023
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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

Psychologist Counseling

Taxonomy Code
103TC1900X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

 

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

NICKOLAS NICHOLS LMFT

Authorized Official Title
LMFT/OWNER
Authorized Official Phone
(757) 493-1514

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699551507
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189105250
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 0 + 5 + 2 + 5 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1699551507 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NICKOLAS SCOTT NICHOLS LMFT

Marriage & Family Therapist

762 INDEPENDENCE BLVD STE 786
VIRGINIA BEACH, VA
ZIP 23455

(757) 493-1514

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699551507, enumerated as an "organization" on September 06, 2023.

The provider is located at 762 INDEPENDENCE BLVD STE 786 VIRGINIA BEACH, VA 23455 and the phone number is (757) 493-1514.

Psychologist with taxonomy code 103TC1900X and a focus in Counseling.