SHANE LIEDEKE
NPI 1033971577
Peer Specialist in Cassopolis, MI

NPI Status: Active since January 30, 2024

Contact Information

1124 AUSTIN
CASSOPOLIS, MI
ZIP 49031
Phone: (269) 228-5188

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  • Individual
  • Male
  • Peer Specialist

About SHANE LIEDEKE

This page provides the complete NPI Profile along with additional information for Shane Liedeke, a provider established in Cassopolis, Michigan with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1033971577 assigned on January 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1033971577
Provider Name
SHANE LIEDEKE
Gender
Male
Entity Type
Individual
Location Address
1124 AUSTIN CASSOPOLIS, MI 49031
Location Phone
(269) 228-5188
Mailing Address
960 M 60 E CASSOPOLIS, MI 49031
Is Sole Proprietor?
No
Enumeration Date
01-30-2024
Last Update Date
01-30-2024
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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

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
Taxonomy Description
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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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.
1033971577
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20631872514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 8 + 7 + 2 + 5 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1033971577 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801483631 CANDYCE RENEE BUYSSE MSW
Individual
Social Worker1124 AUSTIN
CASSOPOLIS, MI 49031
(269) 445-2451
1255003430MISS KRISTINA MARTINEZ
Individual
Counselor (Mental Health)1124 AUSTIN
CASSOPOLIS, MI 49031
(269) 445-3833
1538821400 DAWNA MIST HEILIGER
Individual
Social Worker1124 AUSTIN
CASSOPOLIS, MI 49031
(269) 445-2451
1730851965 TAMANTHA RENEE MURPHY
Individual
Social Worker1124 AUSTIN
CASSOPOLIS, MI 49031
(269) 445-3833
1801558960 PAMELA J SMITH
Individual
Case Manager/Care Coordinator1124 AUSTIN
CASSOPOLIS, MI 49031
(269) 445-2451
1487384996MS. LORI ANN SMITH
Individual
Social Worker1124 AUSTIN
CASSOPOLIS, MI 49031
(269) 228-5173
1962132654 LINDSAY BREE CAMPBELL BSW
Individual
Social Worker1124 AUSTIN
CASSOPOLIS, MI 49031
(269) 445-3833
1619730900 KRISTIN DEANA ACOSTA B.S, CAADC-DP
Individual
Case Manager/Care Coordinator1124 AUSTIN
CASSOPOLIS, MI 49031
(269) 445-2451
1861256851 KINSEY RAYBURN
Individual
Social Worker (Clinical)1124 AUSTIN
CASSOPOLIS, MI 49031
(269) 445-7587

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033971577, enumerated in the NPI registry as an "individual" on January 30, 2024

The provider is located at 1124 Austin Cassopolis, Mi 49031 and the phone number is (269) 228-5188

The provider's speciality is Peer Specialist with taxonomy code 175T00000X

This NPI record was last updated on January 30, 2024. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.