SQUARE ONE
NPI 1730654849
Community/Behavioral Health in Lynnwood, WA

NPI Status: Active since October 04, 2018

Contact Information

21300 68TH AVE W STE 105
LYNNWOOD, WA
ZIP 98036
Phone: (425) 412-3155
Fax: (425) 249-3522

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  • Organization
  • Community/Behavioral Health

About SQUARE ONE

This page provides the complete NPI Profile along with additional information for Square One, a provider established in Lynnwood, Washington operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1730654849 assigned on October 2018. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Square One. The authorized official of this NPI record is Jessica Whitehead (Ceo)

NPI
1730654849
Provider Legal Name
SQUAREONE SERVICES, SPC
Other Organization Name
SQUARE ONE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
21300 68TH AVE W STE 105 LYNNWOOD, WA 98036
Location Phone
(425) 412-3155
Location Fax
(425) 249-3522
Mailing Address
21300 68TH AVE W STE 105 LYNNWOOD, WA 98036
Mailing Phone
(425) 412-3155
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2018
Last Update Date
11-04-2021
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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.

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 WHITEHEAD

Authorized Official Title
CEO
Authorized Official Phone
(425) 412-3155

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
2125346MEDICAID (05)WA 

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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.
1730654849
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2760125888
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 1 + 2 + 5 + 8 + 8 + 8 + 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 1730654849 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
1689142960 ELIZABETH BOUDREAUX
Individual
Counselor (Mental Health)21300 68TH AVE W STE 105
LYNNWOOD, WA 98036
(425) 412-3155
1972156636 AMY HOFEDITZ CDP
Individual
Counselor (Addiction (Substance Use Disorder))21300 68TH AVE W STE 105
LYNNWOOD, WA 98036
(425) 412-3155

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730654849, enumerated in the NPI registry as an "organization" on October 04, 2018

The provider is located at 21300 68th Ave W Ste 105 Lynnwood, Wa 98036 and the phone number is (425) 412-3155

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

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 October 04, 2018. 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.