MR. BRENDAN STACK LPC, LADC
NPI 1316403892
Counselor - Professional in Southbury, CT
NPI Status: Active since February 20, 2019
Contact Information
519 HERITAGE RD STE 2A5
SOUTHBURY, CT
ZIP 06488
Phone: (518) 610-4528
- Individual
- Male
- Counselor
- Professional
About BRENDAN STACK
This page provides the complete NPI Profile along with additional information for Brendan Stack, a provider established in Southbury, Connecticut with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1316403892 assigned on February 2019. The practitioner's primary taxonomy code is 101YP2500X with license number 4530 (CT). The provider is registered as an individual and his NPI record was last updated July 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1316403892
- Provider Name
- MR. BRENDAN STACK LPC, LADC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 519 HERITAGE RD STE 2A5 SOUTHBURY, CT 06488
- Location Phone
- (518) 610-4528
- Mailing Address
- 127 WATERTOWN RD MIDDLEBURY, CT 06762
- Mailing Phone
- (518) 610-4528
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-20-2019
- Last Update Date
- 07-18-2025
- 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 Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 4530
- License State
- CT
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 | 001323 (CT) |
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.
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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 | 3 | 1 | 6 | 4 | 0 | 3 | 8 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 8 | 0 | 6 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 8 + 0 + 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 1316403892 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 |
|---|---|---|---|
| 1134907942 | JACOB NICHOLLS LCSW Individual | Social Worker (Clinical) | 519 HERITAGE RD STE 2A5 SOUTHBURY, CT 06488 (203) 568-5923 |
| 1235737735 | SOUTHBURY ADOLESCENT AND YOUNG ADULT COUNSELING CENTER LLC Organization | Counselor (Professional) | 519 HERITAGE RD STE 2A5 SOUTHBURY, CT 06488 (518) 610-4528 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316403892, enumerated in the NPI registry as an "individual" on February 20, 2019
The provider is located at 519 Heritage Rd Ste 2a5 Southbury, Ct 06488 and the phone number is (518) 610-4528
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
This NPI record was last updated on February 20, 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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