JOHN S. PETKAC MA
NPI 1265432843
Counselor - Professional in Erie, PA

NPI Status: Active since July 26, 2005

Contact Information

4021 W 12TH ST
ERIE, PA
ZIP 16505
Phone: (814) 882-3861
Fax: (814) 833-7944

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  • Individual
  • Male
  • Counselor
  • Professional

About JOHN PETKAC

This page provides the complete NPI Profile along with additional information for John Petkac, a provider established in Erie, Pennsylvania with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1265432843 assigned on July 2005. The practitioner's primary taxonomy code is 101YP2500X with license number PC002741 (PA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1265432843
Provider Name
JOHN S. PETKAC MA
Gender
Male
Entity Type
Individual
Location Address
4021 W 12TH ST ERIE, PA 16505
Location Phone
(814) 882-3861
Location Fax
(814) 833-7944
Mailing Address
4021 W 12TH ST ERIE, PA 16505
Mailing Phone
(814) 882-3861
Mailing Fax
(814) 833-7944
Is Sole Proprietor?
Yes
Enumeration Date
07-26-2005
Last Update Date
11-07-2007
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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 Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
PC002741
License State
PA

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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.
1265432843
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2212583488
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 8 + 3 + 4 + 8 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1265432843 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184601502MS. JUDITH SIMPSON BUCHMAN MA LPC
Individual
Counselor (Professional)4021 W 12TH ST
ERIE, PA 16505
(814) 392-1865
1508915463PETKAC PSYCHOTHERAPY SERVICES
Organization
Community/Behavioral Health4021 W 12TH ST
ERIE, PA 16505
(814) 882-3861
1154660132MR. MICHELLE LYNN ADLER NCC, LPC
Individual
Counselor (Professional)4021 W 12TH ST
ERIE, PA 16505
(814) 504-2628
1285263418MORRIS FAMILY HOME CARE AGENCY
Organization
Home Health4021 W 12TH ST
ERIE, PA 16505
(814) 544-5551

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265432843, enumerated in the NPI registry as an "individual" on July 26, 2005

The provider is located at 4021 W 12th St Erie, Pa 16505 and the phone number is (814) 882-3861

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

This NPI record was last updated on July 26, 2005. 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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