COMMONWEALTH REHAB LLC
NPI 1730873548
Counselor - Addiction (Substance Use Disorder) in Fullerton, CA
NPI Status: Active since June 05, 2023
Contact Information
515 W COMMONWEALTH AVE STE 211
FULLERTON, CA
ZIP 92832
Phone: (310) 343-8684
- Organization
- Counselor
- Addiction (Substance Use Disorder)
- CLIA Number: 05D2316906
- CLIA Cert. Type: Other - IOP
- CLIA Exp. Date: 01-13-2027
About COMMONWEALTH REHAB LLC
This page provides the complete NPI Profile along with additional information for Commonwealth Rehab Llc, a provider established in Fullerton, California operating as a Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1730873548 assigned on June 2023. The practitioner's primary taxonomy code is 101YA0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Commonwealth Rehab Llc 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 Mariam Goldberg (Owner)
- NPI
- 1730873548
- Provider Name
- COMMONWEALTH REHAB LLC
- Entity Type
- Organization
- Location Address
- 515 W COMMONWEALTH AVE STE 211 FULLERTON, CA 92832
- Location Phone
- (310) 343-8684
- Mailing Address
- 515 W COMMONWEALTH AVE STE 211 FULLERTON, CA 92832
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-05-2023
- Last Update Date
- 09-15-2023
- Code Navigator
A Substance Abuse or Addiction Counselor like Commonwealth Rehab Llc advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
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
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
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) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2316906
- Facility Type
- Other - IOP
- Certificate Effective Date
- January 14, 2025
- Certificate Expiration Date
- January 13, 2027
- Laboratory Director
- JISEUNG YOON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Commonwealth Rehab Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for COMMONWEALTH REHAB LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 7 | 3 | 0 | 8 | 7 | 3 | 5 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 16 | 7 | 6 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 1 + 6 + 7 + 6 + 5 + 8 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1730873548 is valid because the calculated check digit 8 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 1730873548, enumerated in the NPI registry as an "organization" on June 05, 2023
The provider is located at 515 W Commonwealth Ave Ste 211 Fullerton, Ca 92832 and the phone number is (310) 343-8684
This medical organization specializes in Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)
The provider's CLIA number is 05D2316906 for a "other - iop" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 05, 2023. 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.