PROGRESSIVE LIVING WELLNESS CENTER, LLC
NPI 1235863531
Clinic/Center - Adult Mental Health in Tempe, AZ

NPI Status: Active since July 12, 2022

Contact Information

2177 E WARNER RD STE 101
TEMPE, AZ
ZIP 85284
Phone: (480) 773-8480
Fax: (480) 546-3626

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About PROGRESSIVE LIVING WELLNESS CENTER, LLC

This page provides the complete NPI Profile along with additional information for Progressive Living Wellness Center, Llc, a provider established in Tempe, Arizona operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1235863531 assigned on July 2022. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Lyddia Getaweru (Executive Director)

NPI
1235863531
Provider Name
PROGRESSIVE LIVING WELLNESS CENTER, LLC
Entity Type
Organization
Location Address
2177 E WARNER RD STE 101 TEMPE, AZ 85284
Location Phone
(480) 773-8480
Location Fax
(480) 546-3626
Mailing Address
2177 E WARNER RD STE 101 TEMPE, AZ 85284
Mailing Phone
(480) 773-8480
Mailing Fax
(480) 546-3626
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-12-2022
Last Update Date
07-12-2022
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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

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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)
1251B00000XAgencies

Case Management

 
2251S00000XAgencies

Community/Behavioral Health

 
3261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
4261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 
5261QR0800XAmbulatory Health Care Facilities

Clinic/Center
Recovery Care

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

LYDDIA GETAWERU

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(480) 773-8480

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
BH7784MEDICAID (05)AZ 

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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.
1235863531
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265166656
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 6 + 6 + 6 + 5 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1235863531 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
1558118802GUIDED JOURNEYS AZ
Organization
Counselor (Professional)2177 E WARNER RD STE 101
TEMPE, AZ 85284
(480) 236-8202
1841336773MRS. STACY KAY SLEDGE M.C.
Individual
Counselor (Professional)2177 E WARNER RD STE 101
TEMPE, AZ 85284
(480) 236-8202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235863531, enumerated in the NPI registry as an "organization" on July 12, 2022

The provider is located at 2177 E Warner Rd Ste 101 Tempe, Az 85284 and the phone number is (480) 773-8480

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 12, 2022. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.