JCRX MENTAL HEALTH SERVICES PLLC
NPI 1639905409
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mount Vernon, IL

NPI Status: Active since September 10, 2024

Contact Information

1720 BROADWAY ST
MOUNT VERNON, IL
ZIP 62864
Phone: (408) 656-0623

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

About JCRX MENTAL HEALTH SERVICES PLLC

This page provides the complete NPI Profile along with additional information for Jcrx Mental Health Services Pllc, a provider established in Mount Vernon, 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 1639905409 assigned on September 2024. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. Jcrx Mental Health Services Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jessica Catherine Rodriguex Wellmaker Ma, Lcpc (Owner)

NPI
1639905409
Provider Name
JCRX MENTAL HEALTH SERVICES PLLC
Entity Type
Organization
Location Address
1720 BROADWAY ST MOUNT VERNON, IL 62864
Location Phone
(408) 656-0623
Mailing Address
906 MAPLE ST MOUNT VERNON, IL 62864
Mailing Phone
(408) 656-0623
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-10-2024
Last Update Date
09-10-2024
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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)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

JESSICA CATHERINE RODRIGUEX WELLMAKER MA, LCPC

Authorized Official Title
OWNER
Authorized Official Phone
(408) 656-0623

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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.
1639905409
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691801040
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 8 + 0 + 1 + 0 + 4 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1639905409 is valid because the calculated check digit 9 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
1194879619DR. ARTHUR EDWARD RONAT DDS
Individual
Dentist (General Practice)1720 BROADWAY ST
MOUNT VERNON, IL 62864
(618) 244-3535
1952177461 JESSICA CATHERINE RODRIGUEX WELLMAKER LCPC, ASOP
Individual
Counselor (Professional)1720 BROADWAY ST
MOUNT VERNON, IL 62864
(408) 656-0623

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639905409, enumerated in the NPI registry as an "organization" on September 10, 2024

The provider is located at 1720 Broadway St Mount Vernon, Il 62864 and the phone number is (408) 656-0623

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 September 10, 2024. 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.