WOLF LARSON ENTERPRISES LLC
NPI 1487151130
Clinic/Center - Adult Mental Health in Washington, IL

NPI Status: Active since April 10, 2018

Contact Information

1932 DEER LN
WASHINGTON, IL
ZIP 61571
Phone: (309) 208-1288

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  • Organization
  • Clinic/Center
  • Adult Mental Health
  • Accepts Insurance

About WOLF LARSON ENTERPRISES LLC

This page provides the complete NPI Profile along with additional information for Wolf Larson Enterprises Llc, a provider established in Washington, Illinois operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1487151130 assigned on April 2018. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is James Gibb Lcpc (Owner)

NPI
1487151130
Provider Name
WOLF LARSON ENTERPRISES LLC
Entity Type
Organization
Location Address
1932 DEER LN WASHINGTON, IL 61571
Location Phone
(309) 208-1288
Mailing Address
1932 DEER LN WASHINGTON, IL 61571
Mailing Phone
(309) 208-1288
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2018
Last Update Date
04-10-2018
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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 Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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)
1261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JAMES GIBB LCPC

Authorized Official Title
OWNER
Authorized Official Phone
(309) 208-1288

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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.
1487151130
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2416725216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 2 + 5 + 2 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1487151130 is valid because the calculated check digit 0 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 1487151130, enumerated in the NPI registry as an "organization" on April 10, 2018

The provider is located at 1932 Deer Ln Washington, Il 61571 and the phone number is (309) 208-1288

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 10, 2018. 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.