LAKE SHORE CENTER FOR BEHAVIORAL HEALTH, LLC
NPI 1497011456
Clinic/Center - Adult Mental Health in Waco, TX
NPI Status: Active since April 04, 2012
- Organization
- Clinic/Center
- Adult Mental Health
About LAKE SHORE CENTER FOR BEHAVIORAL HEALTH, LLC
This page provides the complete NPI Profile along with additional information for Lake Shore Center For Behavioral Health, Llc, a provider established in Waco, Texas operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1497011456 assigned on April 2012. The practitioner's primary taxonomy code is 261QM0850X with license number 9878 (TX). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Rick Pipkin Lpc (Chief Executive Officer)
- NPI
- 1497011456
- Provider Name
- LAKE SHORE CENTER FOR BEHAVIORAL HEALTH, LLC
- Entity Type
- Organization
- Location Address
- 4555 LAKE SHORE DR WACO, TX 76710
- Location Phone
- (254) 776-0400
- Mailing Address
- 4555 LAKE SHORE DR WACO, TX 76710
- Mailing Phone
- (254) 776-0400
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-04-2012
- Last Update Date
- 04-04-2012
- Code Navigator
Location Map
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
- License No.
- 9878
- License State
- TX
- 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) |
|---|---|---|---|---|
| 1 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | 3023 (TX) |
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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. | |||||||||
| 1 | 4 | 9 | 7 | 0 | 1 | 1 | 4 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 0 | 1 | 2 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 0 + 1 + 2 + 4 + 1 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1497011456 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699765008 | HAROLD H LECRONE JR. PH.D. Individual | Psychologist (Clinical) | 4555 LAKE SHORE DR WACO, TX 76710 (254) 776-0400 |
| 1437149846 | CYNTHIA C JANECKA LCSW Individual | Social Worker (Clinical) | 4555 LAKE SHORE DR WACO, TX 76710 (254) 776-0400 |
| 1871583294 | MICHAEL ALEXANDER HOWE PH.D. Individual | Psychologist (Clinical) | 4555 LAKE SHORE DR WACO, TX 76710 (254) 776-0400 |
| 1194715508 | R LEON SCHMITZ M.A. Individual | Counselor (Professional) | 4555 LAKE SHORE DR WACO, TX 76710 (254) 776-0400 |
| 1265422687 | JANE H NORCROSS LCSW Individual | Social Worker (Clinical) | 4555 LAKE SHORE DR WACO, TX 76710 (254) 776-0400 |
| 1467599779 | LAKE SHORE CENTER FOR PSYCHOLOGICAL SERVICES, P.C. Organization | Psychologist (Clinical) | 4555 LAKE SHORE DR WACO, TX 76710 (254) 776-0400 |
| 1558624270 | MRS. KRISTI LYNN CRUTHIRDS LCSW Individual | Social Worker (Clinical) | 4555 LAKE SHORE DR WACO, TX 76710 (254) 776-0400 |
| 1033109442 | HENRY D HARDT PH.D. Individual | Psychologist | 4555 LAKE SHORE DR WACO, TX 76710 (254) 776-0400 |
| 1174860266 | HENRY DAVID HARDT PH D Organization | Clinic/Center (Adult Mental Health) | 4555 LAKE SHORE DR WACO, TX 76710 (254) 776-0400 |
| 1841574209 | MRS. KYNA BASKIN LICHTENSTEIN LCSW Individual | Social Worker (Clinical) | 4555 LAKE SHORE DR WACO, TX 76710 (254) 751-0400 |
| 1164717393 | DIANE MARIE FORTE LPC Individual | Counselor (Professional) | 4555 LAKE SHORE DR WACO, TX 76710 (254) 776-0400 |
| 1881989010 | FORTE' PSYCHOTHERAPY, PLLC Organization | Counselor (Professional) | 4555 LAKE SHORE DR WACO, TX 76710 (254) 776-0400 |
| 1033554837 | EST 400 OF WACO LLC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 4555 LAKE SHORE DR WACO, TX 76710 (254) 776-0400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497011456, enumerated in the NPI registry as an "organization" on April 04, 2012
The provider is located at 4555 Lake Shore Dr Waco, Tx 76710 and the phone number is (254) 776-0400
This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health
This NPI record was last updated on April 04, 2012. 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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