ST. CROIX VALLEY RESTORATIVE JUSTICE PROGRAM, INC.
NPI 1760965024
Clinic/Center - Mental Health (Including Community Mental Health Center) in River Falls, WI

NPI Status: Active since September 12, 2018

Contact Information

215 N 2ND ST STE 108
RIVER FALLS, WI
ZIP 54022
Phone: (715) 425-1100
Fax: (715) 425-1112

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • CLIA Number: 52D2330272
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 09-11-2027

About ST. CROIX VALLEY RESTORATIVE JUSTICE PROGRAM, INC.

This page provides the complete NPI Profile along with additional information for St. Croix Valley Restorative Justice Program, Inc., a provider established in River Falls, Wisconsin operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1760965024 assigned on September 2018. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Ms. Susan M. Capparelli M.a. (Executive Director)

NPI
1760965024
Provider Name
ST. CROIX VALLEY RESTORATIVE JUSTICE PROGRAM, INC.
Entity Type
Organization
Location Address
215 N 2ND ST STE 108 RIVER FALLS, WI 54022
Location Phone
(715) 425-1100
Location Fax
(715) 425-1112
Mailing Address
215 N 2ND ST STE 108 RIVER FALLS, WI 54022
Mailing Phone
(715) 425-1100
Mailing Fax
(715) 425-1112
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-12-2018
Last Update Date
09-12-2018
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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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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

MS. SUSAN M. CAPPARELLI M.A.

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(715) 425-1100

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
52D2330272
Facility Type
Hospice
Certificate Effective Date
September 12, 2025
Certificate Expiration Date
September 11, 2027
Laboratory Director
JERNEY PAUL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St. Croix Valley Restorative Justice Program, Inc. 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.

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NPI 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 1760965024, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 9 → 18 → 9 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 1 + 8 + 6 + 1 + 0 + 0 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1760965024.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor (Mental Health)
215 N 2ND ST STE 108
RIVER FALLS, WI 54022
Social Worker
215 N 2ND ST STE 108
RIVER FALLS, WI 54022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760965024, enumerated as an "organization" on September 12, 2018.

The provider is located at 215 N 2ND ST STE 108 RIVER FALLS, WI 54022 and the phone number is (715) 425-1100.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).