DESTINATION LIFE LLC-S
DESTINATION LIFE LLC-S is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1023625894, based in Ellisville, MS. The organization lists 15 taxonomy classifications, with Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist recorded as primary.
Getting there
The practice address on file is 7 JONATHAN WAY, Ellisville, MS 39437. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Psychiatric/Mental Health, Child & Adolescent covers
Definition to come... NUCC Health Care Provider Taxonomy, code 364SP0807X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 364SP0807X | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent | — | — | primary |
| 1041C0700X | Clinical Social Worker Clinical | — | — | |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse Psychiatric/Mental Health, Child & Adolescent | — | — | |
| 225X00000X | Occupational Therapist | — | — | |
| 225XM0800X | Mental Health Occupational Therapist Mental Health | — | — | |
| 261QP2300X | Primary Care Clinic/Center Primary Care | — | — | |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | — | — | |
| 291U00000X | Clinical Medical Laboratory | — | — | |
| 363L00000X | Nurse Practitioner | — | — | |
| 363LC1500X | Community Health Nurse Practitioner Community Health | — | — | |
| 363LF0000X | Family Nurse Practitioner Family | — | — | |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | — | — | |
| 363LW0102X | Women's Health Nurse Practitioner Women's Health | — | — | |
| 364S00000X | Clinical Nurse Specialist | — | — | |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist Psychiatric/Mental Health | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1023625894 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 25, 2020 |
| Last updated | Jul 30, 2021 |
| Status | Active |
| Practice address |
7 JONATHAN WAY Ellisville, MS 39437 (817) 473-1312 Fax (866) 990-2813 |
| Mailing address |
2001 SE GREEN OAK BLVD STE 130 Arlington, TX 76018 |
| Other identifiers |
03320311
(MS) 25D2200016 · CLIA (MS) 1C5803 · GROUP (TX) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 2 | 3 | 6 | 2 | 5 | 8 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 4 | 3 | 3 | 2 | 1 | 8 | 9 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.