CARLY HEATHER GUTIERREZ
NPI 1104549708
Peer Specialist in Olympia, WA
NPI Status: Active since September 20, 2022
Contact Information
1202 BLACK LAKE BLVD SW
OLYMPIA, WA
ZIP 98502
Phone: (360) 878-8248
- Individual
- Female
- Peer Specialist
About CARLY GUTIERREZ
This page provides the complete NPI Profile along with additional information for Carly Gutierrez, a provider established in Olympia, Washington with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1104549708 assigned on September 2022. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1104549708
- Provider Name
- CARLY HEATHER GUTIERREZ
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1202 BLACK LAKE BLVD SW OLYMPIA, WA 98502
- Location Phone
- (360) 878-8248
- Mailing Address
- 907 7TH AVE SW TUMWATER, WA 98512
- Mailing Phone
- (360) 790-4044
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-20-2022
- Last Update Date
- 09-20-2022
- 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
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. | |||||||||
| 1 | 1 | 0 | 4 | 5 | 4 | 9 | 7 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 10 | 4 | 18 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 0 + 4 + 1 + 8 + 7 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1104549708 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1043735889 | MRS. STEPHANIE SUZAN QUIMBY LMP Individual | Massage Therapist | 1202 BLACK LAKE BLVD SW OLYMPIA, WA 98502 (360) 888-5936 |
| 1760909246 | MICHELLE CATHERINE GAZA Individual | Counselor (Mental Health) | 1202 BLACK LAKE BLVD SW OLYMPIA, WA 98502 (360) 878-8248 |
| 1952915753 | ZOE CHAMPAGNE Individual | Counselor (Mental Health) | 1202 BLACK LAKE BLVD SW OLYMPIA, WA 98502 (360) 968-0480 |
| 1194311704 | WHITNEY BRIANNA MYETTE Individual | Peer Specialist | 1202 BLACK LAKE BLVD SW OLYMPIA, WA 98502 (360) 489-5283 |
| 1447835749 | KERSTIN SYLVIA AYERS Individual | Peer Specialist | 1202 BLACK LAKE BLVD SW OLYMPIA, WA 98502 (360) 764-0345 |
| 1669055968 | CHARLIE ALEXANDER BEST Individual | Counselor | 1202 BLACK LAKE BLVD SW OLYMPIA, WA 98502 (360) 878-8248 |
| 1629546973 | NOLAN ROBERT CARR Individual | Counselor | 1202 BLACK LAKE BLVD SW OLYMPIA, WA 98502 (360) 878-8248 |
| 1386387272 | RANDI MARIE BRATHOLM Individual | Peer Specialist | 1202 BLACK LAKE BLVD SW OLYMPIA, WA 98502 (360) 878-8248 |
| 1558004440 | ERIC GARDNER Individual | Peer Specialist | 1202 BLACK LAKE BLVD SW OLYMPIA, WA 98502 (360) 878-8248 |
| 1285927012 | MR. MATTHEW MICHAEL KRNICH Individual | Counselor | 1202 BLACK LAKE BLVD SW OLYMPIA, WA 98502 (360) 878-8248 |
| 1629791231 | APRIL DENYSE WILLIAMS Individual | Peer Specialist | 1202 BLACK LAKE BLVD SW OLYMPIA, WA 98502 (360) 878-8248 |
| 1992187603 | JENNY MARINA B.A Individual | Counselor | 1202 BLACK LAKE BLVD SW OLYMPIA, WA 98502 (360) 878-8248 |
| 1477267029 | BRIAN KEITH PRATT JR. Individual | Counselor | 1202 BLACK LAKE BLVD SW OLYMPIA, WA 98502 (360) 968-3170 |
| 1922662030 | MICHAEL A PARTEE MSW, LSWIAC, MHP Individual | Social Worker (Clinical) | 1202 BLACK LAKE BLVD SW OLYMPIA, WA 98502 (360) 878-8248 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104549708, enumerated in the NPI registry as an "individual" on September 20, 2022
The provider is located at 1202 Black Lake Blvd Sw Olympia, Wa 98502 and the phone number is (360) 878-8248
The provider's speciality is Peer Specialist with taxonomy code 175T00000X
This NPI record was last updated on September 20, 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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