RENEWED LIFE COUNSELING SERVICES
NPI 1811452188
Substance Abuse Rehabilitation Facility in Coon Rapids, MN
NPI Status: Active since January 31, 2019
Contact Information
10026 UNIVERSITY AVE NW STE 103
COON RAPIDS, MN
ZIP 55448
Phone: (612) 636-9677
- Organization
- Substance Abuse Rehabilitation Facility
About RENEWED LIFE COUNSELING SERVICES
This page provides the complete NPI Profile along with additional information for Renewed Life Counseling Services, a provider established in Coon Rapids, Minnesota operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1811452188 assigned on January 2019. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 7 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 is doing business as Renewed Life Counseling Services. The authorized official of this NPI record is Nikisha Lynnette Simmons-maclin Ladc (Executive Director)
- NPI
- 1811452188
- Provider Legal Name
- RENEWED LIFE COUNSELING, LLC
- Other Organization Name
- RENEWED LIFE COUNSELING SERVICES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 10026 UNIVERSITY AVE NW STE 103 COON RAPIDS, MN 55448
- Location Phone
- (612) 636-9677
- Mailing Address
- 10026 UNIVERSITY AVE NW STE 103 COON RAPIDS, MN 55448
- Mailing Phone
- (612) 636-9677
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-31-2019
- Last Update Date
- 01-31-2019
- Code Navigator
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
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor |
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:
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.
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 |
|---|---|---|---|
| 1098948 | OTHER (01) | MN | MINNESOTA DEPARTMENT OF HUMAN SERVICES |
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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. | |||||||||
| 1 | 8 | 1 | 1 | 4 | 5 | 2 | 1 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 2 | 1 | 8 | 5 | 4 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 2 + 1 + 8 + 5 + 4 + 1 + 1 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1811452188 is valid because the calculated check digit 8 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.
MRS. NIKISHA LYNNETTE SIMMONS-MACLIN LADC
Counselor
(Addiction (Substance Use Disorder))
10026 UNIVERSITY AVE NW STE 103
COON RAPIDS, MN
ZIP 55448
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811452188, enumerated as an "organization" on January 31, 2019.
The provider is located at 10026 UNIVERSITY AVE NW STE 103 COON RAPIDS, MN 55448 and the phone number is (612) 636-9677.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
