WISE CCC
NPI 1407504939
Clinic/Center - Mental Health (Including Community Mental Health Center) in Decatur, TX

NPI Status: Active since March 14, 2022

Contact Information

1650 S FM 51 STE 400
DECATUR, TX
ZIP 76234
Phone: (940) 627-1618
Fax: (940) 393-0429

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About WISE CCC

This page provides the complete NPI Profile along with additional information for Wise Ccc, a provider established in Decatur, Texas operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1407504939 assigned on March 2022. The practitioner's primary taxonomy code is 261QM0801X. 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 Beverly Joann Ross M.a., Lpc-s (Executive Director)

NPI
1407504939
Provider Name
WISE CCC
Entity Type
Organization
Location Address
1650 S FM 51 STE 400 DECATUR, TX 76234
Location Phone
(940) 627-1618
Location Fax
(940) 393-0429
Mailing Address
1650 S FM 51 STE 400 DECATUR, TX 76234
Mailing Phone
(940) 627-1618
Mailing Fax
(940) 393-0429
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2022
Last Update Date
03-14-2022
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
2261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

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

BEVERLY JOANN ROSS M.A., LPC-S

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(940) 627-1618

Reviews for WISE CCC

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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.
1407504939
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2407100896
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 1 + 0 + 0 + 8 + 9 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1407504939 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861140451 BEVERLY JOANN ROSS M.A., LPC-S
Individual
Counselor (Mental Health)1650 S FM 51 STE 400
DECATUR, TX 76234
(940) 627-1618
1922755842 JANA BEARDEN
Individual
Counselor (Professional)1650 S FM 51 STE 400
DECATUR, TX 76234
(940) 627-1618
1962150482 DELAYNA CHOAT LMFT - A
Individual
Marriage & Family Therapist1650 S FM 51 STE 400
DECATUR, TX 76234
(940) 627-1618
1184485880 MARTHA ANGELICA RUIZ
Individual
Counselor (Mental Health)1650 S FM 51 STE 400
DECATUR, TX 76234
(940) 627-1618
1578324554 CYNTHIA ALEJANDRA ALVAREZ M.ED.
Individual
Counselor1650 S FM 51 STE 400
DECATUR, TX 76234
(940) 389-9010
1598526535 DEVON MCCAIN
Individual
Counselor (Mental Health)1650 S FM 51 STE 400
DECATUR, TX 76234
(940) 627-1618
1699536508MRS. FAYE DARLENE THWEATT LPC
Individual
Counselor (Professional)1650 S FM 51 STE 400
DECATUR, TX 76234
(940) 627-1618
1053174086 ROBIN LITTLE LPC-A
Individual
Counselor (Professional)1650 S FM 51 STE 400
DECATUR, TX 76234
(940) 627-1618
1881456341 BRIANNA WATKINS
Individual
Counselor (Professional)1650 S FM 51 STE 400
DECATUR, TX 76234
(940) 627-1618
1932962958MRS. JENNA D CLARK LPCA
Individual
Counselor (Professional)1650 S FM 51 STE 400
DECATUR, TX 76234
(940) 627-1618
1245094093 LAURI MICHELLE HENDERSON LPC-A, SCHOOL COUN.
Individual
Counselor1650 S FM 51 STE 400
DECATUR, TX 76234
(940) 627-1618

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407504939, enumerated in the NPI registry as an "organization" on March 14, 2022

The provider is located at 1650 S Fm 51 Ste 400 Decatur, Tx 76234 and the phone number is (940) 627-1618

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on March 14, 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.