EVERGREEN WELLNESS PSYCHOTHERAPY
NPI 1336752021
Clinic/Center - Health Service in North Bend, WA

NPI Status: Active since August 24, 2020

Contact Information

209 MAIN AVE S STE 115
NORTH BEND, WA
ZIP 98045
Phone: (425) 870-2198

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  • Organization
  • Clinic/Center
  • Health Service

About EVERGREEN WELLNESS PSYCHOTHERAPY

This page provides the complete NPI Profile along with additional information for Evergreen Wellness Psychotherapy, a provider established in North Bend, Washington operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1336752021 assigned on August 2020. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Heidi Marsolek (Owner)

NPI
1336752021
Provider Name
EVERGREEN WELLNESS PSYCHOTHERAPY
Entity Type
Organization
Location Address
209 MAIN AVE S STE 115 NORTH BEND, WA 98045
Location Phone
(425) 870-2198
Mailing Address
18507 89TH AVE NE BOTHELL, WA 98011
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-24-2020
Last Update Date
09-08-2020
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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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

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

HEIDI MARSOLEK

Authorized Official Title
OWNER
Authorized Official Phone
(425) 870-2198

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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.
1336752021
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366145404
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 4 + 5 + 4 + 0 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1336752021 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205307949 YANIDIT DIAZ MARTINEZ ARNP, FNP-C
Individual
Nurse Practitioner (Family)209 MAIN AVE S STE 115
NORTH BEND, WA 98045
(425) 831-0777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336752021, enumerated in the NPI registry as an "organization" on August 24, 2020

The provider is located at 209 Main Ave S Ste 115 North Bend, Wa 98045 and the phone number is (425) 870-2198

This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service

This NPI record was last updated on August 24, 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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