SEATTLE'S UNION GOSPEL MISSION
NPI 1447943840
Counselor - Mental Health in Seattle, WA

NPI Status: Active since May 31, 2023

Contact Information

3800 S OTHELLO ST
SEATTLE, WA
ZIP 98118
Phone: (206) 432-8412

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  • Organization
  • Counselor
  • Mental Health
  • CLIA Number: 50D2245091
  • CLIA Cert. Type: Other - SHELTER
  • CLIA Exp. Date: 04-04-2028

About SEATTLE'S UNION GOSPEL MISSION

This page provides the complete NPI Profile along with additional information for Seattle's Union Gospel Mission, a provider established in Seattle, Washington operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1447943840 assigned on May 2023. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Seattle's Union Gospel Mission 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 Miss Kristiann Danielle Smith Lmft (Director, Behavioral Health)

NPI
1447943840
Provider Name
SEATTLE'S UNION GOSPEL MISSION
Entity Type
Organization
Location Address
3800 S OTHELLO ST SEATTLE, WA 98118
Location Phone
(206) 432-8412
Mailing Address
3800 S OTHELLO ST SEATTLE, WA 98118
Mailing Phone
(206) 432-8412
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2023
Last Update Date
05-31-2023
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A mental health counselor like Seattle's Union Gospel Mission provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

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)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
2106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 

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

MISS KRISTIANN DANIELLE SMITH LMFT

Authorized Official Title
DIRECTOR, BEHAVIORAL HEALTH
Authorized Official Phone
(737) 276-9633

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
50D2245091
Facility Type
Other - SHELTER
Certificate Effective Date
December 08, 2021
Certificate Expiration Date
April 04, 2028
Laboratory Director
JEANNIE BALDWIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Seattle's Union Gospel Mission 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.
1447943840
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2487184688
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 1 + 8 + 4 + 6 + 8 + 8 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1447943840 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
1992517965 DUSTIN KHANH PHAN LICSWA
Individual
Counselor (Mental Health)3800 S OTHELLO ST
SEATTLE, WA 98118
(706) 633-0405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447943840, enumerated in the NPI registry as an "organization" on May 31, 2023

The provider is located at 3800 S Othello St Seattle, Wa 98118 and the phone number is (206) 432-8412

This medical organization specializes in Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider's CLIA number is 50D2245091 for a "other - shelter" 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 May 31, 2023. 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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