EVAN DOUGHTY
NPI 1134851819
Counselor in Carbondale, IL

NPI Status: Active since June 30, 2022

Contact Information

2311 S ILLINOIS AVE
CARBONDALE, IL
ZIP 62903
Phone: (855) 608-3560
Fax: (618) 549-3734

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  • Individual
  • Male
  • Counselor

About EVAN DOUGHTY

This page provides the complete NPI Profile along with additional information for Evan Doughty, a provider established in Carbondale, Illinois with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1134851819 assigned on June 2022. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1134851819
Provider Name
EVAN DOUGHTY
Gender
Male
Entity Type
Individual
Location Address
2311 S ILLINOIS AVE CARBONDALE, IL 62903
Location Phone
(855) 608-3560
Location Fax
(618) 549-3734
Mailing Address
902 W MAIN ST WEST FRANKFORT, IL 62896
Mailing Phone
(618) 937-6483
Mailing Fax
(618) 549-3734
Is Sole Proprietor?
No
Enumeration Date
06-30-2022
Last Update Date
06-30-2022
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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

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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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.
1134851819
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164165282
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 6 + 5 + 2 + 8 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1134851819 is valid because the calculated check digit 9 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
1275994634CENTERSTONE OF ILLINOIS
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 937-6483
1124498522 AIREAL DEE WEBER M.A.
Individual
Counselor (Mental Health)2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1356686018MS. TAMRA G. HORN RN
Individual
Registered Nurse2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1790253268 ELSIE FAROUGH
Individual
Social Worker (Clinical)2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1609344308 ALLISON LENCE
Individual
Registered Nurse2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1447890199 NICHOLAS FOY MSW
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1053934489 MATTHEW PICCHIETTI
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1215553110 MARGARET K HENRY
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 547-6703
1720677248 KATINA BEANE
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 519-9444
1013509744 LEVI WAMPLER
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 615-9754
1053997262 VICTORIA JACKSON
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 937-6483
1316282130CENTERSTONE OF ILLINOIS, INC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 937-6483
1457934101 KENYA WALKER
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1912671884 BONNIE ROONEY
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1326717299 JAYLYNN JONES
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1952666356MR. TIMOTHY SCOTT RITTENHOUSE LCPC
Individual
Counselor (Professional)2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1760124390 DINA BILLINGSLEY
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1053045336 ALEXIS BROOKS MSW
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(855) 608-3560
1679207385 VANESSA MIRANDA BA
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1952761835 JULIE BAILEY
Individual
Counselor (Professional)2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134851819, enumerated in the NPI registry as an "individual" on June 30, 2022

The provider is located at 2311 S Illinois Ave Carbondale, Il 62903 and the phone number is (855) 608-3560

The provider's speciality is Counselor with taxonomy code 101Y00000X

This NPI record was last updated on June 30, 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].
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.