MARK RICHARD AMUNDSEN DMIN
NPI 1053404665
Counselor - Professional in Glendale, WI
NPI Status: Active since October 02, 2006
Contact Information
5650 N GREENBAY AVE
GLENDALE, WI
ZIP 53209
Phone: (262) 789-1191
- Individual
- Male
- Counselor
- Professional
About MARK AMUNDSEN
This page provides the complete NPI Profile along with additional information for Mark Amundsen, a provider established in Glendale, Wisconsin with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1053404665 assigned on October 2006. The practitioner's primary taxonomy code is 101YP2500X with license number 4127-125 (WI). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1053404665
- Provider Name
- MARK RICHARD AMUNDSEN DMIN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5650 N GREENBAY AVE GLENDALE, WI 53209
- Location Phone
- (262) 789-1191
- Mailing Address
- 5650 N GREENBAY AVE GLENDALE, WI 53209
- Mailing Phone
- (262) 789-1191
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-02-2006
- Last Update Date
- 07-14-2022
- 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
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 4127-125
- License State
- WI
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 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | LH00009180 (WA) |
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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. | |||||||||
| 1 | 0 | 5 | 3 | 4 | 0 | 4 | 6 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 8 | 0 | 8 | 6 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 8 + 0 + 8 + 6 + 1 + 2 + 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 = 5 | 5 | ||||||||
The NPI number 1053404665 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 1053404665, enumerated in the NPI registry as an "individual" on October 02, 2006
The provider is located at 5650 N Greenbay Ave Glendale, Wi 53209 and the phone number is (262) 789-1191
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
This NPI record was last updated on October 02, 2006. 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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