PHOENIX RECOVERY SERVICES, LLC
NPI 1760506315
Community/Behavioral Health in Mount Vernon, WA
NPI Status: Active since March 19, 2007
Contact Information
1601 E COLLEGE WAY
MOUNT VERNON, WA
ZIP 98273
Phone: (360) 848-8437
Fax: (360) 848-5250
- Organization
- Community/Behavioral Health
- Accepts Insurance
About PHOENIX RECOVERY SERVICES, LLC
This page provides the complete NPI Profile along with additional information for Phoenix Recovery Services, Llc, a provider established in Mount Vernon, Washington operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1760506315 assigned on March 2007. The practitioner's primary taxonomy code is 251S00000X with license number 29114900 (WA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mrs. Carol Ruth Hundahl Cdp (Owner)
- NPI
- 1760506315
- Provider Name
- PHOENIX RECOVERY SERVICES, LLC
- Entity Type
- Organization
- Location Address
- 1601 E COLLEGE WAY MOUNT VERNON, WA 98273
- Location Phone
- (360) 848-8437
- Location Fax
- (360) 848-5250
- Mailing Address
- 1601 E COLLEGE WAY MOUNT VERNON, WA 98273
- Mailing Phone
- (360) 848-8437
- Mailing Fax
- (360) 848-5250
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-19-2007
- Last Update Date
- 08-22-2020
- 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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 29114900
- License State
- WA
- 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:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 | 7 | 6 | 0 | 5 | 0 | 6 | 3 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 10 | 0 | 12 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 0 + 0 + 1 + 2 + 3 + 2 + 24 = 45 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 45 = 5 | 5 | ||||||||
The NPI number 1760506315 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1255787172 | RACHEL ADAMS CDP Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (360) 848-8437 |
| 1093161911 | SHAYLA J DRISKELL I CDP Individual | Case Management | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (360) 848-8473 |
| 1790131639 | ERIC POSEY CDP Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (360) 848-8437 |
| 1073969820 | KATIE RODEN CP 60026490 Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (360) 848-8437 |
| 1295182343 | AMY PETERSON CP60614932 Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (360) 848-8437 |
| 1023465176 | TIMOTHY TACKELS CP 00002256 Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (360) 848-8437 |
| 1164719175 | IRIS KATHRIN COLA CDP Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (360) 848-8437 |
| 1891208278 | PHOENIX RECOVERY SERVICES, LLC Organization | Specialist | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (360) 848-8437 |
| 1750895561 | VANESSA LOPEZ Individual | Case Manager/Care Coordinator | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (360) 848-8437 |
| 1902310725 | EMILIANO BARAJAS FARIAS Individual | Case Manager/Care Coordinator | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (360) 848-8437 |
| 1629583265 | FIGHTER FOR GOD Individual | Case Manager/Care Coordinator | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (360) 848-8437 |
| 1124533765 | TERRI KNOWLES Individual | Case Manager/Care Coordinator | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (360) 848-8437 |
| 1811490774 | JESUS ANTONIO BAUTISTA Individual | Case Manager/Care Coordinator | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (360) 848-8437 |
| 1285193979 | PHOENIX RECOVERY HOUSE Organization | Community/Behavioral Health | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (360) 848-8437 |
| 1588048805 | SUSAN RUTH MATHEY CDP Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (425) 275-6287 |
| 1396376737 | SHEA BRADLEY ENGLISH SUDPT Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (360) 848-8437 |
| 1578183109 | SHELLY MARIE JONES CDPT Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (360) 848-8437 |
| 1134854417 | TAYA M WALLENBERG Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (206) 461-4880 |
| 1730816844 | GEORGE DAVID MONTIJO I Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (206) 402-8732 |
| 1003007444 | MS. BLANCA V. LAURSEN SUDP Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E COLLEGE WAY MOUNT VERNON, WA 98273 (360) 763-5595 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760506315, enumerated in the NPI registry as an "organization" on March 19, 2007
The provider is located at 1601 E College Way Mount Vernon, Wa 98273 and the phone number is (360) 848-8437
This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X
The provider might be accepting Accepts: PacificSource Health Plans. 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 March 19, 2007. 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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