TEQUITA DOUGLAS BS
NPI 1215765706
Case Manager/Care Coordinator in Carbondale, IL
NPI Status: Active since July 25, 2024
Contact Information
2311 S ILLINOIS AVE
CARBONDALE, IL
ZIP 62903
Phone: (618) 457-6703
Fax: (618) 549-3734
- Individual
- Female
- Case Manager/Care Coordinator
About TEQUITA DOUGLAS
This page provides the complete NPI Profile along with additional information for Tequita Douglas, a provider established in Carbondale, Illinois with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1215765706 assigned on July 2024. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1215765706
- Provider Name
- TEQUITA DOUGLAS BS
- Other Name
- TEQUITA WILLIAMS
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2311 S ILLINOIS AVE CARBONDALE, IL 62903
- Location Phone
- (618) 457-6703
- 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
- 07-25-2024
- Last Update Date
- 07-25-2024
- 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
Case Manager/Care Coordinator
- Taxonomy Code
- 171M00000X
- Type
- Other Service Providers
- Taxonomy Description
- A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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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 | 2 | 1 | 5 | 7 | 6 | 5 | 7 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 14 | 6 | 10 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 1 + 4 + 6 + 1 + 0 + 7 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1215765706 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1124498522 | AIREAL DEE WEBER M.A. Individual | Counselor (Mental Health) | 2311 S ILLINOIS AVE CARBONDALE, IL 62903 (618) 457-6703 |
| 1356686018 | MS. TAMRA G. HORN RN Individual | Registered Nurse | 2311 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 Nurse | 2311 S ILLINOIS AVE CARBONDALE, IL 62903 (618) 457-6703 |
| 1447890199 | NICHOLAS FOY MSW Individual | Counselor | 2311 S ILLINOIS AVE CARBONDALE, IL 62903 (618) 457-6703 |
| 1053934489 | MATTHEW PICCHIETTI Individual | Counselor | 2311 S ILLINOIS AVE CARBONDALE, IL 62903 (618) 457-6703 |
| 1720677248 | KATINA BEANE Individual | Counselor | 2311 S ILLINOIS AVE CARBONDALE, IL 62903 (618) 519-9444 |
| 1013509744 | LEVI WAMPLER Individual | Counselor | 2311 S ILLINOIS AVE CARBONDALE, IL 62903 (618) 615-9754 |
| 1457934101 | KENYA WALKER Individual | Counselor | 2311 S ILLINOIS AVE CARBONDALE, IL 62903 (618) 457-6703 |
| 1912671884 | BONNIE ROONEY Individual | Counselor | 2311 S ILLINOIS AVE CARBONDALE, IL 62903 (618) 457-6703 |
| 1326717299 | JAYLYNN JONES Individual | Counselor | 2311 S ILLINOIS AVE CARBONDALE, IL 62903 (618) 457-6703 |
| 1952666356 | MR. TIMOTHY SCOTT RITTENHOUSE LCPC Individual | Counselor (Professional) | 2311 S ILLINOIS AVE CARBONDALE, IL 62903 (618) 457-6703 |
| 1760124390 | DINA BILLINGSLEY Individual | Counselor | 2311 S ILLINOIS AVE CARBONDALE, IL 62903 (618) 457-6703 |
| 1134851819 | EVAN DOUGHTY Individual | Counselor | 2311 S ILLINOIS AVE CARBONDALE, IL 62903 (855) 608-3560 |
| 1053045336 | ALEXIS BROOKS MSW Individual | Counselor | 2311 S ILLINOIS AVE CARBONDALE, IL 62903 (855) 608-3560 |
| 1679207385 | VANESSA MIRANDA BA Individual | Counselor | 2311 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 |
| 1376279943 | ALEXIS ELAYNE SPARKS MA, LCPC Individual | Counselor (Mental Health) | 2311 S ILLINOIS AVE CARBONDALE, IL 62903 (618) 457-6703 |
| 1952021461 | MICAELA HEINE MSW, LSW Individual | Social Worker | 2311 S ILLINOIS AVE CARBONDALE, IL 62903 (618) 457-6703 |
| 1083207807 | DANIELLE BINKLEY MSW,LSW Individual | Social Worker | 2311 S ILLINOIS AVE CARBONDALE, IL 62903 (618) 457-6703 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215765706, enumerated in the NPI registry as an "individual" on July 25, 2024
The provider is located at 2311 S Illinois Ave Carbondale, Il 62903 and the phone number is (618) 457-6703
The provider's speciality is Case Manager/Care Coordinator with taxonomy code 171M00000X
This NPI record was last updated on July 25, 2024. 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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