PAUL R CLARK LPC
NPI 1285964163
Counselor in Fond Du Lac, WI
NPI Status: Active since December 28, 2009
Contact Information
430 E DIVISION ST
FOND DU LAC, WI
ZIP 54935
Phone: (920) 926-4200
- Individual
- Male
- Counselor
- Accepts Insurance
About PAUL CLARK
This page provides the complete NPI Profile along with additional information for Paul Clark, a provider established in Fond Du Lac, Wisconsin with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1285964163 assigned on December 2009. The practitioner's primary taxonomy code is 101Y00000X with license number 4259-125 (WI). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1285964163
- Provider Name
- PAUL R CLARK LPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 430 E DIVISION ST FOND DU LAC, WI 54935
- Location Phone
- (920) 926-4200
- Mailing Address
- 430 E DIVISION ST FOND DU LAC, WI 54935
- Mailing Phone
- (920) 926-4200
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-28-2009
- Last Update Date
- 12-28-2009
- 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
- License No.
- 4259-125
- License State
- WI
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 | 2 | 8 | 5 | 9 | 6 | 4 | 1 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 18 | 6 | 8 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 8 + 6 + 8 + 1 + 1 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1285964163 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1033106125 | MARY LAUSCH ARRIGONI CRNA Individual | Nurse Anesthetist, Certified Registered | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 926-5942 |
| 1972594679 | JAN ANDREWS RN Individual | Registered Nurse (Medical-Surgical) | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 929-2300 |
| 1063403715 | MARTHA W BAUDER MD Individual | Emergency Medicine | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 926-4600 |
| 1780675462 | MICHAEL T CARLSON PA Individual | Physician Assistant | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 926-4600 |
| 1306837984 | CATHERINE M CASPARY NP Individual | Nurse Practitioner (Critical Care Medicine) | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 929-2300 |
| 1912998303 | JOAN GEIGER CST Individual | Specialist/Technologist, Other | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 929-2300 |
| 1205817582 | CARRIE L KROHN RN Individual | Registered Nurse (Medical-Surgical) | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 929-2300 |
| 1003897315 | JACQUELINE S LEMMENES CST Individual | Specialist/Technologist, Other | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 929-2300 |
| 1407839699 | DAVID A UERKWITZ RN Individual | Registered Nurse (Medical-Surgical) | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 929-2300 |
| 1194708156 | JESSICA M BRAATZ RN Individual | Registered Nurse (Medical-Surgical) | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 929-2300 |
| 1316921893 | HENRY T CHANG MD Individual | Anesthesiology | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 926-2300 |
| 1356327019 | TAI H KWON MD Individual | Anesthesiology | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 926-2300 |
| 1699751305 | LINDA A WELCH CRNA Individual | Nurse Anesthetist, Certified Registered | 430 E DIVISION ST SUITE 4 FOND DU LAC, WI 54935 (920) 926-2300 |
| 1568448264 | SHOGI-TEN TSAI MD Individual | Anesthesiology | 430 E DIVISION ST SUITE 4 FOND DU LAC, WI 54935 (920) 926-2300 |
| 1336125053 | WENDY E WIESE CRNA Individual | Nurse Anesthetist, Certified Registered | 430 E DIVISION ST SUITE 4 FOND DU LAC, WI 54935 (920) 926-2300 |
| 1821077801 | CHARLES P BENNETT MD Individual | Anesthesiology | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 926-8340 |
| 1912967407 | LYNN ZEHREN RN Individual | Registered Nurse (Medical-Surgical) | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 929-2300 |
| 1962459917 | NEIL J GAERTIG PT Individual | Physical Therapist | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 926-5390 |
| 1215984265 | DAWN M KRAUS MS, PT Individual | Physical Therapist | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 926-5370 |
| 1255388625 | JENNIFER L THOMPSON PTA Individual | Physical Therapy Assistant | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 926-5390 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285964163, enumerated in the NPI registry as an "individual" on December 28, 2009
The provider is located at 430 E Division St Fond Du Lac, Wi 54935 and the phone number is (920) 926-4200
The provider's speciality is Counselor with taxonomy code 101Y00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. 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 December 28, 2009. 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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