THUNDERMAKER WELLNESS LLC
NPI 1821896051
Clinic/Center - Mental Health (Including Community Mental Health Center) in Prescott, AZ

NPI Status: Active since March 04, 2025

Contact Information

1045 WHIPPLE ST
PRESCOTT, AZ
ZIP 86305
Phone: (928) 493-4300

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • CLIA Number: 03D2327842
  • CLIA Cert. Type: Other - OUTPATIENT BEHAVIORAL HEA
  • CLIA Exp. Date: 07-29-2027

About THUNDERMAKER WELLNESS LLC

This page provides the complete NPI Profile along with additional information for Thundermaker Wellness Llc, a provider established in Prescott, Arizona 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 1821896051 assigned on March 2025. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Addison Howard (Administrative Officer)

NPI
1821896051
Provider Name
THUNDERMAKER WELLNESS LLC
Entity Type
Organization
Location Address
1045 WHIPPLE ST PRESCOTT, AZ 86305
Location Phone
(928) 493-4300
Mailing Address
1045 WHIPPLE ST PRESCOTT, AZ 86305
Mailing Phone
(928) 493-4300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-04-2025
Last Update Date
12-12-2025
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

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

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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)
1261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

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

ADDISON HOWARD

Authorized Official Title
ADMINISTRATIVE OFFICER
Authorized Official Phone
(928) 531-1930

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
03D2327842
Facility Type
Other - OUTPATIENT BEHAVIORAL HEA
Certificate Effective Date
July 30, 2025
Certificate Expiration Date
July 29, 2027
Laboratory Director
JANNAS ASHLEE HENNINGTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Thundermaker Wellness Llc 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.

Reviews for THUNDERMAKER WELLNESS LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1821896051, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
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 2 → 4 8 → 16 → 7 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 4 + 1 + 1 + 6 + 9 + 1 + 2 + 0 + 1 + 0 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1821896051.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Occupational Therapist
1045 WHIPPLE ST
PRESCOTT, AZ 86305
Occupational Therapist
1045 WHIPPLE ST
PRESCOTT, AZ 86305
Occupational Therapist
1045 WHIPPLE ST
PRESCOTT, AZ 86305
Occupational Therapist
1045 WHIPPLE ST
PRESCOTT, AZ 86305
Occupational Therapist
1045 WHIPPLE ST
PRESCOTT, AZ 86305
Occupational Therapist
1045 WHIPPLE ST
PRESCOTT, AZ 86305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821896051, enumerated as an "organization" on March 04, 2025.

The provider is located at 1045 WHIPPLE ST PRESCOTT, AZ 86305 and the phone number is (928) 493-4300.

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