MR. KENNETH SCOTT MARTIN CADC
NPI 1255438362
Counselor - Addiction (Substance Use Disorder) in Rockford, IL

NPI Status: Active since September 20, 2006

Contact Information

4940 E STATE ST
ROCKFORD, IL
ZIP 61108
Phone: (815) 227-0081
Fax: (815) 387-5316

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

About KENNETH MARTIN

This page provides the complete NPI Profile along with additional information for Kenneth Martin, a provider established in Rockford, Illinois with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1255438362 assigned on September 2006. The practitioner's primary taxonomy code is 101YA0400X with license number 13193 (IL). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1255438362
Provider Name
MR. KENNETH SCOTT MARTIN CADC
Gender
Female
Entity Type
Individual
Location Address
4940 E STATE ST ROCKFORD, IL 61108
Location Phone
(815) 227-0081
Location Fax
(815) 387-5316
Mailing Address
4940 E STATE ST ROCKFORD, IL 61108
Mailing Phone
(815) 227-0081
Mailing Fax
(815) 387-5316
Is Sole Proprietor?
No
Enumeration Date
09-20-2006
Last Update Date
07-08-2007
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A Substance Abuse or Addiction Counselor like Kenneth Martin 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.
13193
License State
IL

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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.
1255438362
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221058316312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 8 + 3 + 1 + 6 + 3 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1255438362 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598733735MS. SARAH C ANDERSON KRANTZ LCSW
Individual
Social Worker (Clinical)4940 E STATE ST
ROCKFORD, IL 61108
(815) 227-0081
1609889013 ROSE MARIE HAVENS MSW LCSW
Individual
Social Worker (Clinical)4940 E STATE ST SUITE 3
ROCKFORD, IL 61108
(815) 227-0081
1467564096MS. JILL A JACKSON PT
Individual
Physical Therapist4940 E STATE ST
ROCKFORD, IL 61108
(815) 227-0081
1265538722DR. THUY NGUYEN BLAIR PHARMD
Individual
Pharmacist4940 E STATE ST SUITE 1
ROCKFORD, IL 61108
(815) 227-0081
1588760052 LYNN STADTMUELLER RPH
Individual
Pharmacist4940 E STATE ST SUITE 1
ROCKFORD, IL 61108
(815) 227-0081
1427140730MRS. JULIE POPE FULTON M.S., R.D., C.D.
Individual
Dietitian, Registered4940 E STATE ST SUITE 3
ROCKFORD, IL 61108
(815) 227-0081
1487733325MRS. LORI JEAN DE ZANEK R.D.
Individual
Dietitian, Registered4940 E STATE ST SUITE 3
ROCKFORD, IL 61108
(815) 227-0081
1205048204 BRENDA KICKERTZ
Individual
Pharmacist4940 E STATE ST SUITE 1
ROCKFORD, IL 61108
(815) 227-0081
1871763839 RANDALL D KITTLE OD
Individual
Optometrist4940 E STATE ST STE 2
ROCKFORD, IL 61108
(815) 397-5959
1942596952 DEBORAH KAY ROGERS PHARM.D.
Individual
Pharmacist4940 E STATE ST
ROCKFORD, IL 61108
(815) 227-0081
1972607513 LINDA ANN PARISH R.N. N.P.
Individual
Nurse Practitioner4940 E STATE ST
ROCKFORD, IL 61108
(815) 227-0081
1184722944 CAROL A MARTIN LCSW
Individual
Social Worker (Clinical)4940 E STATE ST
ROCKFORD, IL 61108
(815) 227-0081

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255438362, enumerated in the NPI registry as an "individual" on September 20, 2006

The provider is located at 4940 E State St Rockford, Il 61108 and the phone number is (815) 227-0081

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 September 20, 2006. 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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