FRESH START COMMUNITY SERVICES, LLC
NPI 1417349150
Counselor in Terry, MS

NPI Status: Active since March 03, 2015

Contact Information

152 EDWARD OWENS DR
TERRY, MS
ZIP 39170
Phone: (601) 954-2421

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  • Organization
  • Counselor

About FRESH START COMMUNITY SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Fresh Start Community Services, Llc, a provider established in Terry, Mississippi operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1417349150 assigned on March 2015. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Fresh Start Community Services, Llc 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 Mrs. Tonya C Tate Ms (Ceo/owner)

NPI
1417349150
Provider Name
FRESH START COMMUNITY SERVICES, LLC
Entity Type
Organization
Location Address
152 EDWARD OWENS DR TERRY, MS 39170
Location Phone
(601) 954-2421
Mailing Address
152 EDWARD OWENS DR TERRY, MS 39170
Mailing Phone
(601) 954-2421
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2015
Last Update Date
03-03-2015
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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

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
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.

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)
1172V00000XOther Service Providers

Community Health Worker

 
2251S00000XAgencies

Community/Behavioral Health

 

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.

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

MRS. TONYA C TATE MS

Authorized Official Title
CEO/OWNER
Authorized Official Phone
(601) 954-2421

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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.
1417349150
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24276418110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 6 + 4 + 1 + 8 + 1 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1417349150 is valid because the calculated check digit 0 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
1265824908MRS. TONYA TATE MS
Individual
Counselor152 EDWARD OWENS DR
TERRY, MS 39170
(601) 954-2421

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417349150, enumerated in the NPI registry as an "organization" on March 03, 2015

The provider is located at 152 Edward Owens Dr Terry, Ms 39170 and the phone number is (601) 954-2421

This medical organization specializes in Counselor with taxonomy code 101Y00000X

This NPI record was last updated on March 03, 2015. 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.