MR. KIRK L CAUDLE QMHA, BA
NPI 1063706091
Counselor - Mental Health in Portland, OR

NPI Status: Active since June 07, 2011

Contact Information

6449 SE 128TH AVE
PORTLAND, OR
ZIP 97236
Phone: (503) 726-3796

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  • Individual
  • Male
  • Counselor
  • Mental Health

About KIRK CAUDLE

This page provides the complete NPI Profile along with additional information for Kirk Caudle, a provider established in Portland, Oregon with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1063706091 assigned on June 2011. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1063706091
Provider Name
MR. KIRK L CAUDLE QMHA, BA
Gender
Male
Entity Type
Individual
Location Address
6449 SE 128TH AVE PORTLAND, OR 97236
Location Phone
(503) 726-3796
Mailing Address
10313 SW 69TH AVE TIGARD, OR 97223
Mailing Phone
(503) 726-3690
Is Sole Proprietor?
No
Enumeration Date
06-07-2011
Last Update Date
06-07-2011
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A mental health counselor like Kirk Caudle provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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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

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

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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.
1063706091
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012314012018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 4 + 0 + 1 + 2 + 0 + 1 + 8 + 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 1063706091 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033402037 SHAWN AUSTIN
Individual
Counselor6449 SE 128TH AVE
PORTLAND, OR 97236
(503) 726-3796
1689968612MR. MORGEN MHIKE
Individual
Counselor (Mental Health)6449 SE 128TH AVE
PORTLAND, OR 97236
(503) 726-3796
1720587132 ALEXANDRA ISMENIA ALVAREZ
Individual
Counselor (Mental Health)6449 SE 128TH AVE
PORTLAND, OR 97236
(503) 726-3740

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063706091, enumerated in the NPI registry as an "individual" on June 07, 2011

The provider is located at 6449 Se 128th Ave Portland, Or 97236 and the phone number is (503) 726-3796

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

This NPI record was last updated on June 07, 2011. 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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