REBIRTH COUNSELING, PLLC
NPI 1255971958
Counselor - Professional in Kilgore, TX

NPI Status: Active since January 10, 2020

Contact Information

1100 STONE RD STE 103
KILGORE, TX
ZIP 75662
Phone: (469) 608-0295
Fax: (903) 913-7274

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  • Organization
  • Counselor
  • Professional

About REBIRTH COUNSELING, PLLC

This page provides the complete NPI Profile along with additional information for Rebirth Counseling, Pllc, a provider established in Kilgore, Texas operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1255971958 assigned on January 2020. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Rebirth Counseling, Pllc 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 Ms. Crystal Dionne Dudley Lpc, Lcdc (Owner)

NPI
1255971958
Provider Name
REBIRTH COUNSELING, PLLC
Entity Type
Organization
Location Address
1100 STONE RD STE 103 KILGORE, TX 75662
Location Phone
(469) 608-0295
Location Fax
(903) 913-7274
Mailing Address
1100 STONE RD STE 103 KILGORE, TX 75662
Mailing Phone
(469) 608-0295
Mailing Fax
(903) 913-7274
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-10-2020
Last Update Date
01-10-2020
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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 Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 

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.

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

MS. CRYSTAL DIONNE DUDLEY LPC, LCDC

Authorized Official Title
OWNER
Authorized Official Phone
(469) 608-0295

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
3921009-01MEDICAID (05)TX 

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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.
1255971958
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051872910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 8 + 7 + 2 + 9 + 1 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1255971958 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487117032REBIRTH COUNSELING, LLC
Organization
Counselor (Professional)1100 STONE RD STE 103
KILGORE, TX 75662
(469) 608-0295
1477050284MS. CRYSTAL DIONNE DUDLEY LPC, LCDC
Individual
Counselor (Professional)1100 STONE RD STE 103
KILGORE, TX 75662
(469) 608-0295
1336702661REBIRTH COUNSELING, PLLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1100 STONE RD STE 103
KILGORE, TX 75662
(466) 608-0295

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255971958, enumerated in the NPI registry as an "organization" on January 10, 2020

The provider is located at 1100 Stone Rd Ste 103 Kilgore, Tx 75662 and the phone number is (469) 608-0295

This medical organization specializes in Counselor with taxonomy code 101YP2500X with a focus in Professional

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 January 10, 2020. 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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