BRADLEY MICHAEL OLSEN
NPI 1053046581
Peer Specialist in Aurora, IL

NPI Status: Active since July 19, 2022

Contact Information

309 NEW INDIAN TRAIL CT
AURORA, IL
ZIP 60506
Phone: (630) 966-4000

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  • Individual
  • Male
  • Peer Specialist

About BRADLEY OLSEN

This page provides the complete NPI Profile along with additional information for Bradley Olsen, a provider established in Aurora, Illinois with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1053046581 assigned on July 2022. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1053046581
Provider Name
BRADLEY MICHAEL OLSEN
Gender
Male
Entity Type
Individual
Location Address
309 NEW INDIAN TRAIL CT AURORA, IL 60506
Location Phone
(630) 966-4000
Mailing Address
309 NEW INDIAN TRAIL CT AURORA, IL 60506
Mailing Phone
(630) 966-4000
Is Sole Proprietor?
No
Enumeration Date
07-19-2022
Last Update Date
07-19-2022
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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.
1053046581
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201030412516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 0 + 4 + 1 + 2 + 5 + 1 + 6 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1053046581 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
1023411634 ANGEL N. WILLIAMS
Individual
Social Worker309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(630) 966-4000
1881058626ASSOCIATION FOR INDIVIDUAL DEVELOPMENT
Organization
Community/Behavioral Health309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(630) 966-4000
1124465224MRS. REBECCA HEEMAN-MOORE
Individual
Social Worker309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(815) 391-3379
1316479546 JEANNINE DALEIDEN-FARWELL R.N.
Individual
Registered Nurse309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(847) 931-2340
1598281743 BEATRIZ LOPEZ
Individual
Counselor (Mental Health)309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(630) 966-4200
1598192981VNA HEALTH CARE
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(630) 978-2532
1962773622MRS. DANIELLE DAWN LA HA M.A.
Individual
Counselor (Mental Health)309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(630) 966-4000
1174185169 ELIZABETH RUNYAN
Individual
Counselor (Mental Health)309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(630) 966-4000
1366069155 JAQUELIN AGUILERA
Individual
Counselor (Mental Health)309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(630) 966-4290
1235712373 JANAI CRUMBLEY
Individual
Psychologist (Counseling)309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(630) 966-4000
1619639648 WILLIAM ANDREW HUBBLE
Individual
Counselor (Mental Health)309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(630) 966-4300
1942964200 ANDREA HASKO-MARX
Individual
Community Health Worker309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(630) 966-4300
1952065211 PHILIP GARRET MARSHALL RSS-MHP
Individual
Community Health Worker309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(630) 966-4000
1679233282 KENA VIARD
Individual
Social Worker309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(630) 966-4000
1003568338 KELLY M CORONA
Individual
Social Worker309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(630) 966-4000
1619629052 JUANITA T WELLS
Individual
Counselor (Mental Health)309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(630) 966-4106
1780336412 LASHANTA T DAVIS
Individual
Social Worker309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(630) 966-4000
1700531183 SERETTA PRICE
Individual
Social Worker309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(630) 966-4000
1730834870 JESSICA BYAS-LURGIO
Individual
Counselor (Mental Health)309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(630) 966-4000
1013666544 NANCE JEAN FINNEGAN
Individual
Counselor (Mental Health)309 NEW INDIAN TRAIL CT
AURORA, IL 60506
(630) 291-4082

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053046581, enumerated in the NPI registry as an "individual" on July 19, 2022

The provider is located at 309 New Indian Trail Ct Aurora, Il 60506 and the phone number is (630) 966-4000

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

This NPI record was last updated on July 19, 2022. 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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