TARA LYNN KETTERINGHAM LCPC
NPI 1104389071
Counselor - Professional in Frederick, MD
NPI Status: Active since April 09, 2019
Contact Information
5412 OLD NATIONAL PIKE
FREDERICK, MD
ZIP 21702
Phone: (240) 490-0256
- Individual
- Female
- Counselor
- Professional
About TARA KETTERINGHAM
This page provides the complete NPI Profile along with additional information for Tara Ketteringham, a provider established in Frederick, Maryland with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1104389071 assigned on April 2019. The practitioner's primary taxonomy code is 101YP2500X with license number LC12334 (MD). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1104389071
- Provider Name
- TARA LYNN KETTERINGHAM LCPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5412 OLD NATIONAL PIKE FREDERICK, MD 21702
- Location Phone
- (240) 490-0256
- Mailing Address
- 5412 OLD NATIONAL PIKE FREDERICK, MD 21702
- Mailing Phone
- (240) 490-0256
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-09-2019
- Last Update Date
- 02-21-2023
- 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 Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LC12334
- License State
- MD
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 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | LGP9228 (MD) |
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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 | 1 | 0 | 4 | 3 | 8 | 9 | 0 | 7 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 6 | 8 | 18 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 6 + 8 + 1 + 8 + 0 + 1 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1104389071 is valid because the calculated check digit 1 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 1104389071, enumerated in the NPI registry as an "individual" on April 09, 2019
The provider is located at 5412 Old National Pike Frederick, Md 21702 and the phone number is (240) 490-0256
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
This NPI record was last updated on April 09, 2019. 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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