ARDEAN BETH BROCK-VANDERWALL M.DIV., M.A.
NPI 1013147495
Counselor - Professional in Grand Rapids, MI

NPI Status: Active since July 20, 2009

Contact Information

2828 KRAFT AVE.
GRAND RAPIDS, MI
ZIP 49512
Phone: (616) 949-9550
Fax: (616) 949-9551

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  • Individual
  • Female
  • Counselor
  • Professional

About ARDEAN BROCK-VANDERWALL

This page provides the complete NPI Profile along with additional information for Ardean Brock-vanderwall, a provider established in Grand Rapids, Michigan with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1013147495 assigned on July 2009. The practitioner's primary taxonomy code is 101YP2500X with license number 6401011131 (MI). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1013147495
Provider Name
ARDEAN BETH BROCK-VANDERWALL M.DIV., M.A.
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
2828 KRAFT AVE. GRAND RAPIDS, MI 49512
Location Phone
(616) 949-9550
Location Fax
(616) 949-9551
Mailing Address
3208 WOODBERRY DRIVE GRAND RAPIDS, MI 49512
Mailing Phone
(616) 893-6420
Mailing Fax
(616) 949-9551
Is Sole Proprietor?
No
Enumeration Date
07-20-2009
Last Update Date
10-26-2015
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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

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
6401011131
License State
MI

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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.
1013147495
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20232414418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 2 + 4 + 1 + 4 + 4 + 1 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1013147495 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013147495, enumerated in the NPI registry as an "individual" on July 20, 2009

The provider is located at 2828 Kraft Ave. Grand Rapids, Mi 49512 and the phone number is (616) 949-9550

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

This NPI record was last updated on July 20, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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