KINGDOM SOURCE, LLC
NPI 1154698892
Counselor in Lafayette, LA
NPI Status: Active since November 23, 2011
Contact Information
2506 JOHNSTON ST
LAFAYETTE, LA
ZIP 70503
Phone: (337) 456-6166
Fax: (337) 456-4830
- Organization
- Counselor
About KINGDOM SOURCE, LLC
This page provides the complete NPI Profile along with additional information for Kingdom Source, Llc, a provider established in Lafayette, Louisiana operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1154698892 assigned on November 2011. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Kingdom Source, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Winford Louis Amos Lpc, Lac, Ccs (Director/ Owner)
- NPI
- 1154698892
- Provider Name
- KINGDOM SOURCE, LLC
- Entity Type
- Organization
- Location Address
- 2506 JOHNSTON ST LAFAYETTE, LA 70503
- Location Phone
- (337) 456-6166
- Location Fax
- (337) 456-4830
- Mailing Address
- 3226 GRAND POINT HWY BREAUX BRIDGE, LA 70517
- Mailing Phone
- (337) 456-6166
- Mailing Fax
- (337) 456-4830
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-23-2011
- Last Update Date
- 11-26-2019
- 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
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 101YP1600X | Behavioral Health & Social Service Providers | Counselor | |
| 4 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 5 | 104100000X | Behavioral Health & Social Service Providers | Social Worker |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Reviews for KINGDOM SOURCE, LLC
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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 | 1 | 5 | 4 | 6 | 9 | 8 | 8 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 12 | 9 | 16 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 1 + 2 + 9 + 1 + 6 + 8 + 1 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1154698892 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1609130822 | LET'S TALK, L.L.C. Organization | Early Intervention Provider Agency | 2506 JOHNSTON ST LAFAYETTE, LA 70503 (337) 356-2356 |
| 1477820132 | WINFORD LOUIS AMOS LPC, LAC, CCS Individual | Counselor (Professional) | 2506 JOHNSTON ST LAFAYETTE, LA 70503 (337) 456-6166 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154698892, enumerated in the NPI registry as an "organization" on November 23, 2011
The provider is located at 2506 Johnston St Lafayette, La 70503 and the phone number is (337) 456-6166
This medical organization specializes in Counselor with taxonomy code 101Y00000X
This NPI record was last updated on November 23, 2011. 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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