ST JOSEPH COUNSELING & REHABILITATION SERVICES, INC
NPI 1710251012
Counselor in Tyler, TX

NPI Status: Active since March 05, 2012

Contact Information

3334 S SW LOOP 323
SUITE 108
TYLER, TX
ZIP 75701
Phone: (903) 581-7973
Fax: (903) 581-6605

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  • Organization
  • Counselor

About ST JOSEPH COUNSELING & REHABILITATION SERVICES, INC

This page provides the complete NPI Profile along with additional information for St Joseph Counseling & Rehabilitation Services, Inc, a provider established in Tyler, Texas operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1710251012 assigned on March 2012. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. St Joseph Counseling & Rehabilitation Services, Inc 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 Ken A Chinweze (Administrator)

NPI
1710251012
Provider Name
ST JOSEPH COUNSELING & REHABILITATION SERVICES, INC
Entity Type
Organization
Location Address
3334 S SW LOOP 323 SUITE 108 TYLER, TX 75701
Location Phone
(903) 581-7973
Location Fax
(903) 581-6605
Mailing Address
3334 S SW LOOP 323 SUITE 108 TYLER, TX 75701
Mailing Phone
(903) 581-7973
Mailing Fax
(903) 581-6605
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2012
Last Update Date
04-16-2012
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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

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
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.

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)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2103TR0400XBehavioral Health & Social Service Providers

Psychologist
Rehabilitation

 

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:

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

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

KEN A CHINWEZE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(903) 581-7973

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
1194941518MEDICAID (05)LA 

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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.
1710251012
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272045202
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 4 + 5 + 2 + 0 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1710251012 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710251012, enumerated as an "organization" on March 05, 2012.

The provider is located at 3334 S SW LOOP 323 SUITE 108 TYLER, TX 75701 and the phone number is (903) 581-7973.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.