WELLNESS PATH
NPI 1427446301
Counselor - Professional in Liverpool, NY

NPI Status: Active since December 31, 2014

Contact Information

209 OSWEGO ST
SPACE#13
LIVERPOOL, NY
ZIP 13088
Phone: (315) 457-7047
Fax: (315) 457-0719

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  • Organization
  • Counselor
  • Professional
  • CLIA Number: 33D0723844
  • CLIA Cert. Type: Industrial
  • CLIA Exp. Date: 03-26-2027

About WELLNESS PATH

This page provides the complete NPI Profile along with additional information for Wellness Path, a provider established in Liverpool, New York operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1427446301 assigned on December 2014. The practitioner's primary taxonomy code is 101YP2500X with license number R046289-1 (NY). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Nahid Masrouri Lcsw-r (Ceo)

NPI
1427446301
Provider Name
WELLNESS PATH
Entity Type
Organization
Location Address
209 OSWEGO ST SPACE#13 LIVERPOOL, NY 13088
Location Phone
(315) 457-7047
Location Fax
(315) 457-0719
Mailing Address
209 OSWEGO ST SPACE#13 LIVERPOOL, NY 13088
Mailing Phone
(315) 457-7047
Mailing Fax
(315) 457-0719
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-31-2014
Last Update Date
12-31-2014
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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 Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
R046289-1
License State
NY

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.

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

NAHID MASROURI LCSW-R

Authorized Official Title
CEO
Authorized Official Phone
(315) 457-7047

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D0723844
Facility Type
Industrial
Certificate Effective Date
December 10, 1998
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. CLIFFORD H. LYONS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wellness Path to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1427446301
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447841230
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 8 + 4 + 1 + 2 + 3 + 0 + 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 1427446301 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427446301, enumerated in the NPI registry as an "organization" on December 31, 2014

The provider is located at 209 Oswego St Space#13 Liverpool, Ny 13088 and the phone number is (315) 457-7047

This medical organization specializes in Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider's CLIA number is 33D0723844 for a "industrial" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 31, 2014. 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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