FAMILY ART THERAPY CENTER PC
NPI 1609916147
Counselor - Professional in Clayton, GA

NPI Status: Active since February 07, 2007

Contact Information

109 OLD LIVERY STREET
CLAYTON, GA
ZIP 30525
Phone: (706) 782-0717
Fax: (706) 782-5266

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  • Organization
  • Counselor
  • Professional

About FAMILY ART THERAPY CENTER PC

This page provides the complete NPI Profile along with additional information for Family Art Therapy Center Pc, a provider established in Clayton, Georgia operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1609916147 assigned on February 2007. The practitioner's primary taxonomy code is 101YP2500X with license number LPC 003219 (GA). The provider is registered as an organization and their NPI record was last updated 2 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 Ms. Christy Elizabeth Black Lpc, Atr-bc (Ceo)

NPI
1609916147
Provider Name
FAMILY ART THERAPY CENTER PC
Entity Type
Organization
Location Address
109 OLD LIVERY STREET CLAYTON, GA 30525
Location Phone
(706) 782-0717
Location Fax
(706) 782-5266
Mailing Address
PO BOX 1689 CLAYTON, GA 30525
Mailing Phone
(706) 782-0717
Mailing Fax
(706) 782-5266
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-07-2007
Last Update Date
03-13-2023
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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 Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
LPC 003219
License State
GA

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. CHRISTY ELIZABETH BLACK LPC, ATR-BC

Authorized Official Title
CEO
Authorized Official Phone
(064) 903-5357

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
10045514OTHER (01)GACMO AMERIGROUP
743776000OTHER (01)GACMO MAGELLAN
052483465AMEDICAID (05)GA 

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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.
1609916147
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26091811218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 1 + 1 + 2 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1609916147 is valid because the calculated check digit 7 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
1053452565MS. BARBARA H MARSHALL LPC
Individual
Counselor (Professional)109 OLD LIVERY STREET
CLAYTON, GA 30525
(706) 782-0717
1346380946MS. CHRISTY ELIZABETH BLACK LPC, ATR-BC
Individual
Counselor (Professional)109 OLD LIVERY STREET
CLAYTON, GA 30525
(706) 782-0717

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609916147, enumerated in the NPI registry as an "organization" on February 07, 2007

The provider is located at 109 Old Livery Street Clayton, Ga 30525 and the phone number is (706) 782-0717

This medical organization specializes in Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider might be accepting Accepts: Amerigroup, Medicare, Medicaid and Magellan Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 07, 2007. 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.