PINE VALLEY SERVICES
NPI 1891126751
Community Based Residential Treatment Facility, Mental Illness in Mauston, WI

NPI Status: Active since December 03, 2013

Contact Information

124 GRAYSIDE AVE
MAUSTON, WI
ZIP 53948
Phone: (608) 847-7575
Fax: (608) 847-3096

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  • Community Based Residential Treatment Fa...

About PINE VALLEY SERVICES

This page provides the complete NPI Profile along with additional information for Pine Valley Services, a provider established in Mauston, Wisconsin operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1891126751 assigned on December 2013. The practitioner's primary taxonomy code is 320800000X with license number AFH (WI). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Pine Valley Services. The authorized official of this NPI record is Jessica Schulz (Ceo / Owner Member Llc)

NPI
1891126751
Provider Legal Name
PINE VALLEY RESIDENTIAL SERVICES
Other Organization Name
PINE VALLEY SERVICES
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
124 GRAYSIDE AVE MAUSTON, WI 53948
Location Phone
(608) 847-7575
Location Fax
(608) 847-3096
Mailing Address
PO BOX 359 MAUSTON, WI 53948
Mailing Phone
(608) 847-7575
Mailing Fax
(608) 847-3096
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-03-2013
Last Update Date
08-28-2023
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Location Map

Secondary Locations

  • W1889 Koval Rd
    Lyndon Station, WI 53944
    (608) 847-7575

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 Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
AFH
License State
WI
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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)
1251B00000XAgencies

Case Management

7163-123 (WI)
2251S00000XAgencies

Community/Behavioral Health

7163-123 (WI)
3320900000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

AFH (WI)

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

JESSICA SCHULZ

Authorized Official Title
CEO / OWNER MEMBER LLC
Authorized Official Phone
(608) 847-7575

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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 1891126751, 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
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
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 9 → 18 → 9 1 → 2 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 + 1 + 8 + 1 + 2 + 2 + 1 + 2 + 7 + 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 1891126751.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Social Worker (Clinical)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Social Worker (Clinical)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Counselor (Mental Health)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Counselor (Mental Health)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Counselor
124 GRAYSIDE AVE
MAUSTON, WI 53948
Counselor (Mental Health)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Counselor (Mental Health)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Counselor (Mental Health)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Counselor (Mental Health)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Counselor (Mental Health)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Counselor (Mental Health)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Social Worker (Clinical)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Community/Behavioral Health
124 GRAYSIDE AVE
MAUSTON, WI 53948
Counselor (Professional)
124 GRAYSIDE AVE
MAUSTON, WI 53948

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891126751, enumerated as an "organization" on December 03, 2013.

The provider is located at 124 GRAYSIDE AVE MAUSTON, WI 53948 and the phone number is (608) 847-7575.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.