NICOLE ELIZABETH CLARK
NPI 1023513637
Counselor in Portland, OR
NPI Status: Active since March 26, 2018
Contact Information
3650 NE MALLORY AVE APT 309
PORTLAND, OR
ZIP 97212
Phone: (971) 331-0422
- Individual
- Female
- Counselor
About NICOLE CLARK
This page provides the complete NPI Profile along with additional information for Nicole Clark, a provider established in Portland, Oregon with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1023513637 assigned on March 2018. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1023513637
- Provider Name
- NICOLE ELIZABETH CLARK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3650 NE MALLORY AVE APT 309 PORTLAND, OR 97212
- Location Phone
- (971) 331-0422
- Mailing Address
- 3650 NE MALLORY AVE APT 309 PORTLAND, OR 97212
- Mailing Phone
- (971) 331-0422
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-26-2018
- Last Update Date
- 12-04-2018
- 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
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
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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 | 0 | 2 | 3 | 5 | 1 | 3 | 6 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 10 | 1 | 6 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 1 + 0 + 1 + 6 + 6 + 6 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1023513637 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023513637, enumerated in the NPI registry as an "individual" on March 26, 2018
The provider is located at 3650 Ne Mallory Ave Apt 309 Portland, Or 97212 and the phone number is (971) 331-0422
The provider's speciality is Counselor with taxonomy code 101Y00000X
This NPI record was last updated on March 26, 2018. 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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