SWINOMISH TRIBAL COMMUNITY
NPI 1700081775
Counselor - Mental Health in La Conner, WA

NPI Status: Active since June 19, 2007

Contact Information

17395 RESERVATION RD
LA CONNER, WA
ZIP 98257
Phone: (360) 466-1275
Fax: (360) 466-7301

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Counselor
Mental Health

About SWINOMISH TRIBAL COMMUNITY

This page provides the complete NPI Profile along with additional information for Swinomish Tribal Community, a provider established in La Conner, Washington operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1700081775 assigned on June 2007. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Swinomish Tribal Community. The authorized official of this NPI record is Dr. Mark Backlund (Director)

NPI: 1700081775
Provider Legal Name: SWINOMISH TRIBAL MENTAL HEALTH PROGRAM
Other Organization Name: SWINOMISH TRIBAL COMMUNITY
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 17395 RESERVATION RD LA CONNER, WA 98257
Location Phone: (360) 466-1275
Location Fax: (360) 466-7301
Mailing Address: PO BOX 388 LA CONNER, WA 98257
Mailing Phone: (360) 466-1275
Mailing Fax: (360) 466-7301
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 06-19-2007
Last Update Date: 08-20-2007
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A mental health counselor like Swinomish Tribal Community provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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 Mental Health
Taxonomy Code: 101YM0800X
Type: Behavioral Health & Social Service Providers
License State: WA

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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: DR. MARK BACKLUND
Authorized Official Title: DIRECTOR
Authorized Official Phone: (360) 466-1275

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
1981281	MEDICAID (05)	WA

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.
1	7	0	0	0	8	1	7	7	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	0	0	0	8	2	7	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 0 + 8 + 2 + 7 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5									5

The NPI number 1700081775 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.