JODI PROVINCE COUNSELING SERVICES PLLC
NPI 1710366687
Community/Behavioral Health in State Road, NC

NPI Status: Active since May 26, 2015

Contact Information

2587 PLEASANT RIDGE RD
STATE ROAD, NC
ZIP 28676
Phone: (336) 818-0733

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  • Organization
  • Community/Behavioral Health

About JODI PROVINCE COUNSELING SERVICES PLLC

This page provides the complete NPI Profile along with additional information for Jodi Province Counseling Services Pllc, a provider established in State Road, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1710366687 assigned on May 2015. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Jodi Province Counseling Services Pllc 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 Jodi Tilley Province (Executive Director)

NPI
1710366687
Provider Name
JODI PROVINCE COUNSELING SERVICES PLLC
Entity Type
Organization
Location Address
2587 PLEASANT RIDGE RD STATE ROAD, NC 28676
Location Phone
(336) 818-0733
Mailing Address
1260 COLLEGE AVE SUITE 1 WILKESBORO, NC 28697
Mailing Phone
(336) 526-0073
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-26-2015
Last Update Date
07-27-2023
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
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.

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)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 

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

JODI TILLEY PROVINCE

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(336) 818-0733

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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.
1710366687
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27206612616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 6 + 1 + 2 + 6 + 1 + 6 + 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 1710366687 is valid because the calculated check digit 7 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 1710366687, enumerated as an "organization" on May 26, 2015.

The provider is located at 2587 PLEASANT RIDGE RD STATE ROAD, NC 28676 and the phone number is (336) 818-0733.

Community/Behavioral Health with taxonomy code 251S00000X.