LIVING WATER YOUTH RANCH
NPI 1528795093
Counselor - Mental Health in Hayden, ID

NPI Status: Active since August 04, 2022

Contact Information

8382 N WAYNE DR STE 201
HAYDEN, ID
ZIP 83835
Phone: (208) 762-8777

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  • Organization
  • Counselor
  • Mental Health

About LIVING WATER YOUTH RANCH

This page provides the complete NPI Profile along with additional information for Living Water Youth Ranch, a provider established in Hayden, Idaho operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1528795093 assigned on August 2022. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated 3 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 Marissa Mccreary (Office Manager)

NPI
1528795093
Provider Name
LIVING WATER YOUTH RANCH
Entity Type
Organization
Location Address
8382 N WAYNE DR STE 201 HAYDEN, ID 83835
Location Phone
(208) 762-8777
Mailing Address
8382 N WAYNE DR STE 201 HAYDEN, ID 83835
Mailing Phone
(208) 762-8777
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-04-2022
Last Update Date
08-04-2022
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A mental health counselor like Living Water Youth Ranch 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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 

Group Taxonomy 193400000X MULTIPLE 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

MARISSA MCCREARY

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(208) 981-1992

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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.
1528795093
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
254814910018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 1 + 4 + 9 + 1 + 0 + 0 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1528795093 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801390521LOCAL LAB LLC
Organization
Clinical Medical Laboratory8382 N WAYNE DR STE 201
HAYDEN, ID 83835
(208) 714-0478
1689311045 CAROL LOWRY ACADC
Individual
Counselor (Addiction (Substance Use Disorder))8382 N WAYNE DR STE 201
HAYDEN, ID 83835
(208) 762-8777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528795093, enumerated in the NPI registry as an "organization" on August 04, 2022

The provider is located at 8382 N Wayne Dr Ste 201 Hayden, Id 83835 and the phone number is (208) 762-8777

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

This NPI record was last updated on August 04, 2022. 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.