SRC
NPI 1841686433
Community/Behavioral Health in Jacksonville, FL

NPI Status: Active since April 09, 2015

Contact Information

580 ELLIS RD S
JACKSONVILLE, FL
ZIP 32254
Phone: (678) 886-3984

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  • Organization
  • Community/Behavioral Health

About SRC

This page provides the complete NPI Profile along with additional information for Src, a provider established in Jacksonville, Florida operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1841686433 assigned on April 2015. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Tanya Lake-smith (Mental Health Counselor)

NPI
1841686433
Provider Name
SRC
Entity Type
Organization
Location Address
580 ELLIS RD S JACKSONVILLE, FL 32254
Location Phone
(678) 886-3984
Mailing Address
11993 ALEXANDRA DR JACKSONVILLE, FL 32218
Mailing Phone
(678) 886-3984
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2015
Last Update Date
04-09-2015
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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.

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

TANYA LAKE-SMITH

Authorized Official Title
MENTAL HEALTH COUNSELOR
Authorized Official Phone
(678) 886-3984

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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 1841686433, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 8 + 1 + 1 + 2 + 8 + 1 + 2 + 4 + 6 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1841686433.

Other Providers at the Same Location


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

Counselor
580 ELLIS RD S, STE 118
JACKSONVILLE, FL 32254
Marriage & Family Therapist
580 ELLIS RD S, SUITE 118
JACKSONVILLE, FL 32254
Counselor
580 ELLIS RD S
JACKSONVILLE, FL 32254
Counselor (Mental Health)
580 ELLIS RD S, STE 118
JACKSONVILLE, FL 32254
Counselor (Addiction (Substance Use Disorder))
580 ELLIS RD S
JACKSONVILLE, FL 32254
Community/Behavioral Health
580 ELLIS RD S, SUITE 118
JACKSONVILLE, FL 32254

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841686433, enumerated as an "organization" on April 09, 2015.

The provider is located at 580 ELLIS RD S JACKSONVILLE, FL 32254 and the phone number is (678) 886-3984.

Community/Behavioral Health with taxonomy code 251S00000X.