YOUTH SERVICE BUREAU OF ILLINOIS VALLEY
NPI 1578808689
Clinic/Center - Mental Health (Including Community Mental Health Center) in Rockford, IL

NPI Status: Active since November 29, 2012

Contact Information

308 W STATE ST
ROCKFORD, IL
ZIP 61101
Phone: (815) 316-1977

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About YOUTH SERVICE BUREAU OF ILLINOIS VALLEY

This page provides the complete NPI Profile along with additional information for Youth Service Bureau Of Illinois Valley, a provider established in Rockford, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1578808689 assigned on November 2012. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Ms. Lisa Kay Gustafson Lcpc (Treatment Coordinator)

NPI
1578808689
Provider Name
YOUTH SERVICE BUREAU OF ILLINOIS VALLEY
Entity Type
Organization
Location Address
308 W STATE ST ROCKFORD, IL 61101
Location Phone
(815) 316-1977
Mailing Address
424 W MADISON ST OTTAWA, IL 61350
Mailing Phone
(815) 433-3953
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2012
Last Update Date
09-20-2022
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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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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)
1251S00000XAgencies

Community/Behavioral Health

1041C0700X (IL)

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

MS. LISA KAY GUSTAFSON LCPC

Authorized Official Title
TREATMENT COORDINATOR
Authorized Official Phone
(815) 433-3953

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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.
1578808689
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2514816016616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 6 + 0 + 1 + 6 + 6 + 1 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1578808689 is valid because the calculated check digit 9 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 1578808689, enumerated in the NPI registry as an "organization" on November 29, 2012

The provider is located at 308 W State St Rockford, Il 61101 and the phone number is (815) 316-1977

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on November 29, 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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