SELF-DETERMINATION LLC
SELF-DETERMINATION LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1639408248, based in Kings Mtn, NC. The organization lists 5 taxonomy classifications, with Case Management Agency recorded as primary.
Getting there
The practice address on file is 103 EBENEZER RD, Kings Mtn, NC 28086. 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
| Licence | State | Specialty |
|---|---|---|
| 023-197 | NC | Mental Illness Community Based… |
| 012-129 | NC | Emotionally Disturbed Childrens'… |
This provider holds licence 023-197 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
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 Case Management covers
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. NUCC Health Care Provider Taxonomy, code 251B00000X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 251B00000X | Case Management Agency | — | — | primary |
| 261QD1600X | Developmental Disabilities Clinic/Center Developmental Disabilities | — | — | |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | 023-197 | NC | |
| 251S00000X | Community/Behavioral Health Agency | — | — | |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | — | |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 012-129 | NC |
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 | 1639408248 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 9, 2009 |
| Last updated | Aug 10, 2018 |
| Status | Active |
| Practice address |
103 EBENEZER RD Kings Mtn, NC 28086 (704) 750-4752 Fax (704) 750-4753 |
| Other identifiers |
6604454
(NC) |
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 | 6 | 3 | 9 | 4 | 0 | 8 | 2 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 6 | 9 | 8 | 0 | 7 | 2 | 8 |
Sum = 72 · next multiple of 10 = 80 · check digit = 8 · actual last digit = 8
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.