GIBSON CENTER FOR BEHAVIORAL CHANGE
NPI 1679928501
Clinic/Center - Rehabilitation, Substance Use Disorder in Cape Girardeau, MO
NPI Status: Active since April 28, 2016
Contact Information
340 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 332-0416
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
About GIBSON CENTER FOR BEHAVIORAL CHANGE
This page provides the complete NPI Profile along with additional information for Gibson Center For Behavioral Change, a provider established in Cape Girardeau, Missouri operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1679928501 assigned on April 2016. The practitioner's primary taxonomy code is 261QR0405X with license number 3056-7335 (MO). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Ryan Essex (Chief Operating Officer)
- NPI
- 1679928501
- Provider Name
- GIBSON CENTER FOR BEHAVIORAL CHANGE
- Entity Type
- Organization
- Location Address
- 340 S BROADVIEW ST CAPE GIRARDEAU, MO 63703
- Location Phone
- (573) 332-0416
- Mailing Address
- PO BOX 1267 CAPE GIRARDEAU, MO 63702
- Mailing Phone
- (573) 332-0416
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-28-2016
- Last Update Date
- 01-24-2024
- 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
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
- License No.
- 3056-7335
- License State
- MO
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.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| 1184774275 | MEDICAID (05) | MO |
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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 | 6 | 7 | 9 | 9 | 2 | 8 | 5 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 18 | 2 | 16 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 1 + 8 + 2 + 1 + 6 + 5 + 0 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1679928501 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 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1316232069 | MR. JOHN EUGENE NIMMO Individual | Counselor (Mental Health) | 340 S BROADVIEW ST CAPE GIRARDEAU, MO 63703 (573) 332-0416 |
| 1093097917 | MS. MARY ANN ROBERSTON M.A. Individual | Counselor (Professional) | 340 S BROADVIEW ST CAPE GIRARDEAU, MO 63703 (573) 332-0613 |
| 1689941528 | MS. JODY PETZOLDT M.A. Individual | Counselor (Professional) | 340 S BROADVIEW ST CAPE GIRARDEAU, MO 63703 (573) 332-0416 |
| 1386152973 | BRENDA GAUSE RN Individual | Registered Nurse | 340 S BROADVIEW ST CAPE GIRARDEAU, MO 63703 (573) 332-0416 |
| 1659879096 | TINA FULLER LPN Individual | Licensed Practical Nurse | 340 S BROADVIEW ST CAPE GIRARDEAU, MO 63703 (573) 332-0416 |
| 1750886909 | MECHELLE ABERNATHY LPN Individual | Licensed Practical Nurse | 340 S BROADVIEW ST CAPE GIRARDEAU, MO 63703 (573) 332-0416 |
| 1598909939 | JANICE L RUESLER LPC Individual | Counselor (Professional) | 340 S BROADVIEW ST CAPE GIRARDEAU, MO 63703 (573) 332-0416 |
| 1164719373 | GIBSON CENTER FOR BEHAVIORAL CHANGE Organization | Counselor (Mental Health) | 340 S BROADVIEW ST CAPE GIRARDEAU, MO 63703 (573) 332-0416 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679928501, enumerated in the NPI registry as an "organization" on April 28, 2016
The provider is located at 340 S Broadview St Cape Girardeau, Mo 63703 and the phone number is (573) 332-0416
This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder
The provider might be accepting Accepts: Medicare and Medicaid. 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 April 28, 2016. 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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