MRS. MARY JANE CLARK RN, CHES
NPI 1548986565
Health and Wellness Coach in Carthage, IL

NPI Status: Active since October 12, 2022

Contact Information

1450 N COUNTY ROAD 2050 E
CARTHAGE, IL
ZIP 62321
Phone: (217) 357-6832
Fax: (217) 357-6839

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  • Individual
  • Female
  • Health and Wellness Coach

About MARY CLARK

This page provides the complete NPI Profile along with additional information for Mary Clark, a provider established in Carthage, Illinois with a medical specialization in Health And Wellness Coach. The healthcare provider is registered in the NPI registry with number 1548986565 assigned on October 2022. The practitioner's primary taxonomy code is 171400000X with license number 9468 (PA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1548986565
Provider Name
MRS. MARY JANE CLARK RN, CHES
Other Name
MARY JANE MAYS
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1450 N COUNTY ROAD 2050 E CARTHAGE, IL 62321
Location Phone
(217) 357-6832
Location Fax
(217) 357-6839
Mailing Address
PO BOX 160 CARTHAGE, IL 62321
Mailing Phone
(217) 357-6832
Mailing Fax
(217) 357-6839
Is Sole Proprietor?
Yes
Enumeration Date
10-12-2022
Last Update Date
10-12-2022
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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

Health and Wellness Coach

Taxonomy Code
171400000X
Type
Other Service Providers
License No.
9468
License State
PA
Taxonomy Description
The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.

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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.
1548986565
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
258818812512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 8 + 8 + 1 + 2 + 5 + 1 + 2 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1548986565 is valid because the calculated check digit 5 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
1962923615 MELANIE ANN SHARPE
Individual
Counselor (Mental Health)1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-6516
1134578420 ROSALINDA CAMPOS M.D
Individual
Family Medicine1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-2173
1659687432 ELIZABETH A PICKERING PA-C
Individual
Physician Assistant1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-2173
1427700517QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Organization
Durable Medical Equipment & Medical Supplies1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-2173
1679208870 JACOB HARVEY CADC
Individual
Counselor (Addiction (Substance Use Disorder))1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-6888
1063123677MR. MAX HOLMES LSW
Individual
Social Worker1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-2173
1528769825MEMORIAL HOSPITAL ASSOCIATION
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-6888
1790069540DR. CHAKA K BATLEY DNP, FPA-APRN, PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-6888
1114693181 GEORGE BRUMMELL PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-6888
1669152336 GAVIN O'NEIL LISW, LCSW
Individual
Social Worker (Clinical)1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-2173
1952621922MS. TAMMY SUE TEEL MS ED.
Individual
Counselor (Professional)1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-6888
1235773565 LINDSAY BRUMMELL LPC
Individual
Counselor (Professional)1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-6888
1093451338 MELISSA K BREWER FNP-BC
Individual
Nurse Practitioner (Family)1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-2173

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548986565, enumerated in the NPI registry as an "individual" on October 12, 2022

The provider is located at 1450 N County Road 2050 E Carthage, Il 62321 and the phone number is (217) 357-6832

The provider's speciality is Health and Wellness Coach with taxonomy code 171400000X

This NPI record was last updated on October 12, 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].
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