KELLY MARIE RUNK LCDC
NPI 1215504584
Counselor - Addiction (Substance Use Disorder) in Longview, TX

NPI Status: Active since June 07, 2021

Contact Information

950 N 4TH ST
LONGVIEW, TX
ZIP 75601
Phone: (903) 758-2471
Fax: (903) 234-1639

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  • Individual
  • Female
  • Counselor
  • Addiction (Substance Use Disorder)

About KELLY RUNK

This page provides the complete NPI Profile along with additional information for Kelly Runk, a provider established in Longview, Texas with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1215504584 assigned on June 2021. The practitioner's primary taxonomy code is 101YA0400X with license number 14164 (TX). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1215504584
Provider Name
KELLY MARIE RUNK LCDC
Gender
Female
Entity Type
Individual
Location Address
950 N 4TH ST LONGVIEW, TX 75601
Location Phone
(903) 758-2471
Location Fax
(903) 234-1639
Mailing Address
107 WOODBINE PL LONGVIEW, TX 75601
Mailing Phone
(903) 758-2471
Mailing Fax
(903) 234-1639
Is Sole Proprietor?
Yes
Enumeration Date
06-07-2021
Last Update Date
06-07-2021
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A Substance Abuse or Addiction Counselor like Kelly Runk advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

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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 Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers
License No.
14164
License State
TX

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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.
1215504584
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251008516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 0 + 0 + 8 + 5 + 1 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1215504584 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811266547SABINE VALLEY REGIONAL MHMR DBA COMMUNITY HEALTHCORE
Organization
Community/Behavioral Health950 N 4TH ST
LONGVIEW, TX 75601
(903) 758-0596
1508135138MS. SUZANNE KELLEY LCDC
Individual
Counselor (Addiction (Substance Use Disorder))950 N 4TH ST
LONGVIEW, TX 75601
(903) 758-0596
1356612923MRS. CAROLYN HARMON LCDC
Individual
Counselor (Addiction (Substance Use Disorder))950 N 4TH ST
LONGVIEW, TX 75601
(903) 758-0596
1811268485MR. MARK AMBROSIOUS COUNSELOR INTERN
Individual
Counselor (Addiction (Substance Use Disorder))950 N 4TH ST
LONGVIEW, TX 75601
(903) 758-0596
1194080515MR. MITCHELL G GRAYSON LCDC
Individual
Counselor (Addiction (Substance Use Disorder))950 N 4TH ST
LONGVIEW, TX 75601
(903) 758-0596
1255684544MS. CAROLYN HOWARD LCDC
Individual
Counselor (Addiction (Substance Use Disorder))950 N 4TH ST
LONGVIEW, TX 75601
(903) 758-0596
1568726461MS. STACY RICHARDS LCDC
Individual
Counselor (Addiction (Substance Use Disorder))950 N 4TH ST
LONGVIEW, TX 75601
(903) 758-0596
1023459096 SHELLEY ELAINE NORMAN LCDC
Individual
Counselor (Addiction (Substance Use Disorder))950 N 4TH ST
LONGVIEW, TX 75601
(903) 758-2471
1023468956 HOLLYE GOODSON
Individual
Counselor (Addiction (Substance Use Disorder))950 N 4TH ST
LONGVIEW, TX 75601
(903) 758-2471
1831614536 ELLEN ELAINE SANDERS M.A., LPC
Individual
Counselor (Professional)950 N 4TH ST
LONGVIEW, TX 75601
(903) 757-1106
1497266175MRS. ROXANNA JEAN WEST LPC
Individual
Counselor (Professional)950 N 4TH ST
LONGVIEW, TX 75601
(903) 619-2816
1073028049 BRADEN FRIEDRICH LPC
Individual
Counselor (Professional)950 N 4TH ST
LONGVIEW, TX 75601
(903) 619-3867
1952883480 KIMBERLY DAWN DURHAM LPC
Individual
Counselor (Professional)950 N 4TH ST
LONGVIEW, TX 75601
(903) 757-1106
1326521410 JESSICA CHESHIER LPC
Individual
Counselor (Professional)950 N 4TH ST
LONGVIEW, TX 75601
(903) 445-2208
1053889303 TRISHA THOMPSON
Individual
Counselor (Addiction (Substance Use Disorder))950 N 4TH ST
LONGVIEW, TX 75601
(903) 758-0596
1104394469 ETHEL MARIE WRIGHT-THOMPSON LCDC
Individual
Counselor (Addiction (Substance Use Disorder))950 N 4TH ST
LONGVIEW, TX 75601
(903) 758-0596
1548836984 TAWANNA NICOLE JACKSON-SCOTT LCDC
Individual
Counselor (Addiction (Substance Use Disorder))950 N 4TH ST
LONGVIEW, TX 75601
(903) 757-1106
1962853291 KRISTAL BOUNDS LCDC
Individual
Counselor (Addiction (Substance Use Disorder))950 N 4TH ST
LONGVIEW, TX 75601
(903) 758-2471
1124807110 SANDRA LEE SEARLE LPC
Individual
Counselor (Professional)950 N 4TH ST
LONGVIEW, TX 75601
(903) 758-2471

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215504584, enumerated in the NPI registry as an "individual" on June 07, 2021

The provider is located at 950 N 4th St Longview, Tx 75601 and the phone number is (903) 758-2471

The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)

This NPI record was last updated on June 07, 2021. 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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