OFALLON COUNSELING SERVICES LLC
NPI 1225690001
Social Worker - Clinical in O Fallon, IL

NPI Status: Active since July 02, 2019

Contact Information

8 EAGLE CTR STE 15
O FALLON, IL
ZIP 62269
Phone: (618) 207-3543
Fax: (855) 813-0212

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  • Organization
  • Social Worker
  • Clinical
  • CLIA Number: 14D2241258
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 10-25-2025

About OFALLON COUNSELING SERVICES LLC

This page provides the complete NPI Profile along with additional information for Ofallon Counseling Services Llc, a provider established in O Fallon, Illinois operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1225690001 assigned on July 2019. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated 6 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 Amy Vallem Lcsw (Owner)

NPI
1225690001
Provider Name
OFALLON COUNSELING SERVICES LLC
Entity Type
Organization
Location Address
8 EAGLE CTR STE 15 O FALLON, IL 62269
Location Phone
(618) 207-3543
Location Fax
(855) 813-0212
Mailing Address
1180 TAZEWELL DR O FALLON, IL 62269
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-02-2019
Last Update Date
07-02-2019
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A clinical social worker like Ofallon Counseling Services Llc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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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

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

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

AMY VALLEM LCSW

Authorized Official Title
OWNER
Authorized Official Phone
(618) 207-3543

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
14D2241258
Facility Type
School/Student Health Service
Certificate Effective Date
October 26, 2023
Certificate Expiration Date
October 25, 2025
Laboratory Director
DARCY BENWAY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ofallon Counseling Services Llc 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.
1225690001
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2245129000
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 1 + 2 + 9 + 0 + 0 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1225690001 is valid because the calculated check digit 1 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
1659723591 AMY VALLEM MSW, LCSW
Individual
Social Worker (Clinical)8 EAGLE CTR STE 15
O FALLON, IL 62269
(618) 207-3543
1982206082LAURIE BALTZ COUNSELING, LLC
Organization
Psychologist (School)8 EAGLE CTR STE 15
BELLEVILLE, IL 62269
(618) 567-3693

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225690001, enumerated in the NPI registry as an "organization" on July 02, 2019

The provider is located at 8 Eagle Ctr Ste 15 O Fallon, Il 62269 and the phone number is (618) 207-3543

This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical

The provider's CLIA number is 14D2241258 for a "school/student health service" 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 July 02, 2019. 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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