STONEBRIDGE FAMILY COUNSELING
NPI 1548793441
Community Based Residential Treatment Facility, Mental Illness in Fayetteville, TN
NPI Status: Active since April 06, 2017
Contact Information
209 EDISON ST E
FAYETTEVILLE, TN
ZIP 37334
Phone: (615) 516-3825
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 44D0857681
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-22-2026
About STONEBRIDGE FAMILY COUNSELING
This page provides the complete NPI Profile along with additional information for Stonebridge Family Counseling, a provider established in Fayetteville, Tennessee operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1548793441 assigned on April 2017. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Andrew Lyon Mmft (Owner)
- NPI
- 1548793441
- Provider Name
- STONEBRIDGE FAMILY COUNSELING
- Entity Type
- Organization
- Location Address
- 209 EDISON ST E FAYETTEVILLE, TN 37334
- Location Phone
- (615) 516-3825
- Mailing Address
- 209 EDISON ST E FAYETTEVILLE, TN 37334
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-06-2017
- Last Update Date
- 04-06-2017
- 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
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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
- 44D0857681
- Facility Type
- Physician Office
- Certificate Effective Date
- June 23, 2024
- Certificate Expiration Date
- June 22, 2026
- Laboratory Director
- DR. THERESA T. MORRISON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Stonebridge Family Counseling in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 | 5 | 4 | 8 | 7 | 9 | 3 | 4 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 14 | 9 | 6 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 1 + 4 + 9 + 6 + 4 + 8 + 24 = 79 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 79 = 1 | 1 | ||||||||
The NPI number 1548793441 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1144759887 | MR. ANDREW CHRISTOPHER LYON LMFT Individual | Marriage & Family Therapist | 209 EDISON ST E FAYETTEVILLE, TN 37334 (615) 516-3825 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548793441, enumerated in the NPI registry as an "organization" on April 06, 2017
The provider is located at 209 Edison St E Fayetteville, Tn 37334 and the phone number is (615) 516-3825
This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X
The provider's CLIA number is 44D0857681 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on April 06, 2017. 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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