GREENSBORO DANCE & DRAMA THERAPY
NPI 1114697117
Counselor - Mental Health in Greensboro, NC

NPI Status: Active since September 20, 2021

Contact Information

4112 SPRING GARDEN ST STE B
GREENSBORO, NC
ZIP 27407
Phone: (336) 698-6723

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  • Organization
  • Counselor
  • Mental Health
  • CLIA Number: 34D2047795
  • CLIA Cert. Type: Other - GROUP HOME
  • CLIA Exp. Date: 10-02-2026

About GREENSBORO DANCE & DRAMA THERAPY

This page provides the complete NPI Profile along with additional information for Greensboro Dance & Drama Therapy, a provider established in Greensboro, North Carolina operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1114697117 assigned on September 2021. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Angela Wiley Ma (Owner)

NPI
1114697117
Provider Name
GREENSBORO DANCE & DRAMA THERAPY
Entity Type
Organization
Location Address
4112 SPRING GARDEN ST STE B GREENSBORO, NC 27407
Location Phone
(336) 698-6723
Mailing Address
5603 W FRIENDLY AVE # 103B GREENSBORO, NC 27410
Mailing Phone
(336) 698-6723
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2021
Last Update Date
09-20-2021
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A mental health counselor like Greensboro Dance & Drama Therapy provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

ANGELA WILEY MA

Authorized Official Title
OWNER
Authorized Official Phone
(336) 698-6723

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
34D2047795
Facility Type
Other - GROUP HOME
Certificate Effective Date
October 03, 2024
Certificate Expiration Date
October 02, 2026
Laboratory Director
KELLEY WEEKLEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Greensboro Dance & Drama Therapy 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 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.
1114697117
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241291412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 2 + 9 + 1 + 4 + 1 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1114697117 is valid because the calculated check digit 7 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 1114697117, enumerated in the NPI registry as an "organization" on September 20, 2021

The provider is located at 4112 Spring Garden St Ste B Greensboro, Nc 27407 and the phone number is (336) 698-6723

This medical organization specializes in Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider's CLIA number is 34D2047795 for a "other - group home" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on September 20, 2021. 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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