SYNERGY RECOVERY
NPI 1922103787
Community Based Residential Treatment Facility, Mental Illness in North Wilkesboro, NC
NPI Status: Active since September 14, 2006
Contact Information
118 PEACE ST
NORTH WILKESBORO, NC
ZIP 28659
Phone: (336) 667-7191
Fax: (336) 667-6859
- Organization
- Community Based Residential Treatment Fa...
- Accepts Insurance
- CLIA Number: 34D2248937
- CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
- CLIA Exp. Date: 01-17-2026
About SYNERGY RECOVERY
This page provides the complete NPI Profile along with additional information for Synergy Recovery, a provider established in North Wilkesboro, North Carolina operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1922103787 assigned on September 2006. The practitioner's primary taxonomy code is 320800000X with license number MHL-097-003 (NC). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Carl Yates Spake Ma,ccs,csac (Director)
- NPI
- 1922103787
- Provider Name
- SYNERGY RECOVERY
- Entity Type
- Organization
- Location Address
- 118 PEACE ST NORTH WILKESBORO, NC 28659
- Location Phone
- (336) 667-7191
- Location Fax
- (336) 667-6859
- Mailing Address
- PO BOX 26 WILKESBORO, NC 28697
- Mailing Phone
- (336) 667-7191
- Mailing Fax
- (336) 667-6859
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-14-2006
- Last Update Date
- 09-01-2016
- 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
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- License No.
- MHL-097-003
- License State
- NC
- 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) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health | MHL097003 (NC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
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 |
|---|---|---|---|
| 8301254 | MEDICAID (05) | NC |
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
- 34D2248937
- Facility Type
- Intermediate Care Facility for Mentally Retarded
- Certificate Effective Date
- January 18, 2024
- Certificate Expiration Date
- January 17, 2026
- Laboratory Director
- APRIL D. WYATT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Synergy Recovery 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 1922103787, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
NORTH WILKESBORO, NC 28659
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922103787, enumerated as an "organization" on September 14, 2006.
The provider is located at 118 PEACE ST NORTH WILKESBORO, NC 28659 and the phone number is (336) 667-7191.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
The provider might be accepting Accepts: AmeriHealth Caritas Next, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
