UNKNOWN PHOENIX LPC, CACIII
NPI 1750672937
Counselor - Professional in Fort Collins, CO

NPI Status: Active since April 22, 2011

Contact Information

1220 S COLLEGE AVE
FORT COLLINS, CO
ZIP 80524
Phone: (970) 402-8543
Fax: (970) 493-9113

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  • Individual
  • Female
  • Counselor
  • Professional

About UNKNOWN PHOENIX

This page provides the complete NPI Profile along with additional information for Unknown Phoenix, a provider established in Fort Collins, Colorado with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1750672937 assigned on April 2011. The practitioner's primary taxonomy code is 101YP2500X with license number 3067 (CO). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1750672937
Provider Name
UNKNOWN PHOENIX LPC, CACIII
Gender
Female
Entity Type
Individual
Location Address
1220 S COLLEGE AVE FORT COLLINS, CO 80524
Location Phone
(970) 402-8543
Location Fax
(970) 493-9113
Mailing Address
1220 S COLLEGE AVE FORT COLLINS, CO 80524
Mailing Phone
(970) 402-8543
Mailing Fax
(970) 493-9113
Is Sole Proprietor?
Yes
Enumeration Date
04-22-2011
Last Update Date
04-22-2011
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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.
3067
License State
CO

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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

5254 (CO)

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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.
1750672937
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100127496
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 7 + 4 + 9 + 6 + 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 1750672937 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770299828 SANDRA TESKE
Individual
Counselor (Mental Health)1220 S COLLEGE AVE
FORT COLLINS, CO 80524
(970) 829-8823

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750672937, enumerated in the NPI registry as an "individual" on April 22, 2011

The provider is located at 1220 S College Ave Fort Collins, Co 80524 and the phone number is (970) 402-8543

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

This NPI record was last updated on April 22, 2011. 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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