DASA MEDICAID PROVIDER
NPI 1922277631
Community/Behavioral Health in Dekalb, IL
NPI Status: Active since February 27, 2008
Contact Information
12 HEALTH SERVICES DR
DEKALB, IL
ZIP 60115
Phone: (815) 756-4875
Fax: (815) 756-2944
- Organization
- Community/Behavioral Health
About DASA MEDICAID PROVIDER
This page provides the complete NPI Profile along with additional information for Dasa Medicaid Provider, a provider established in Dekalb, Illinois operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1922277631 assigned on February 2008. The practitioner's primary taxonomy code is 251S00000X with license number A0254001A (IL). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's other name is Dasa Medicaid Provider. The authorized official of this NPI record is Mr. Michael Flora (Ceo/president)
- NPI
- 1922277631
- Provider Legal Name
- BEN GORDON CENTER
- Other Organization Name
- DASA MEDICAID PROVIDER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 12 HEALTH SERVICES DR DEKALB, IL 60115
- Location Phone
- (815) 756-4875
- Location Fax
- (815) 756-2944
- Mailing Address
- 12 HEALTH SERVICES DR DEKALB, IL 60115
- Mailing Phone
- (815) 756-4875
- Mailing Fax
- (815) 756-2944
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-27-2008
- Last Update Date
- 04-20-2008
- 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.
- A0254001A
- License State
- IL
- 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.
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 |
|---|---|---|---|
| =========002 | MEDICAID (05) | IL |
Reviews for DASA MEDICAID PROVIDER
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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 | 9 | 2 | 2 | 2 | 7 | 7 | 6 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 4 | 7 | 14 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 4 + 7 + 1 + 4 + 6 + 6 + 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 1922277631 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831262153 | MR. GARY P CARTER MS, NCC, LCPC Individual | Counselor (Professional) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1629141916 | HEATHER MUCHA MS, LCPC Individual | Counselor (Professional) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1669545851 | JACQUELIN PIPPEL MA, LCPC Individual | Counselor (Professional) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1104999317 | SHANNON MICHELLE UNDERWOOD MS ED, NCC, LCPC Individual | Counselor (Professional) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1447323712 | LINDA HILDERBRANT BSN, RN Individual | Registered Nurse (Psychiatric/Mental Health, Adult) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1740353945 | FRANCES TIERNEY MA, LCPC Individual | Counselor (Professional) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1750454914 | YVONNE RILEY BS, CADC Individual | Counselor (Addiction (Substance Use Disorder)) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1689747453 | KENT PATRICK WOHLRABE MA, CADC Individual | Counselor (Addiction (Substance Use Disorder)) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1245363282 | SCOTT R SHAW LSW, CADC Individual | Counselor (Addiction (Substance Use Disorder)) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1124242763 | MR. MICHAEL DOUGLAS FLORA LCPC, LPCC, LSW Individual | Counselor (Professional) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1992920128 | TRENA CUMMINGS RN Individual | Registered Nurse (Psychiatric/Mental Health, Child & Adolescent) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1568664902 | LORETTA JEAN JENDRYKA LCPC Individual | Counselor (Professional) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1518157197 | MRS. STACY A AUBRY LCSW Individual | Social Worker (Clinical) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1093995961 | REBECCA P FAULKNER LCPC Individual | Counselor (Professional) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1700037512 | BEN GORDON CENTER Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1942452321 | MRS. MARTHA E CARLSON LCSW Individual | Social Worker (Clinical) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1114168630 | MRS. MICHELLE TALLEY RN Individual | Registered Nurse (Psychiatric/Mental Health) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1770715948 | CHRYSTAL KAMRADT RN Individual | Registered Nurse | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1407183155 | KATHERINE MORGE LUEKEN LCSW Individual | Social Worker (Clinical) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
| 1457681231 | MRS. KARI A. MOLL LPC Individual | Counselor (Professional) | 12 HEALTH SERVICES DR DEKALB, IL 60115 (815) 756-4875 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922277631, enumerated in the NPI registry as an "organization" on February 27, 2008
The provider is located at 12 Health Services Dr Dekalb, Il 60115 and the phone number is (815) 756-4875
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 February 27, 2008. 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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