PHOENIX PEER SERVICES LLC
NPI 1235994138
Peer Specialist in Mildred, PA

NPI Status: Active since February 19, 2024

Contact Information

7406 ROUTE 487 STE 1
MILDRED, PA
ZIP 18632
Phone: (570) 485-8212

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  • Organization
  • Peer Specialist

About PHOENIX PEER SERVICES LLC

This page provides the complete NPI Profile along with additional information for Phoenix Peer Services Llc, a provider established in Mildred, Pennsylvania operating as a Peer Specialist. The healthcare provider is registered in the NPI registry with number 1235994138 assigned on February 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kathleen M Russell Cps (Cfo)

NPI
1235994138
Provider Name
PHOENIX PEER SERVICES LLC
Entity Type
Organization
Location Address
7406 ROUTE 487 STE 1 MILDRED, PA 18632
Location Phone
(570) 485-8212
Mailing Address
PO BOX 512 WYSOX, PA 18854
Mailing Phone
(570) 485-8212
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2024
Last Update Date
02-19-2024
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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

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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHLEEN M RUSSELL CPS

Authorized Official Title
CFO
Authorized Official Phone
(570) 485-8212

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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.
1235994138
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265189816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 8 + 9 + 8 + 1 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1235994138 is valid because the calculated check digit 8 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 1235994138, enumerated in the NPI registry as an "organization" on February 19, 2024

The provider is located at 7406 Route 487 Ste 1 Mildred, Pa 18632 and the phone number is (570) 485-8212

This medical organization specializes in Peer Specialist with taxonomy code 175T00000X

This NPI record was last updated on February 19, 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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