ROSETTA J DAVIS
NPI 1366915704
Peer Specialist in Colville, WA

NPI Status: Active since January 08, 2019

Contact Information

165 E HAWTHORNE AVE
COLVILLE, WA
ZIP 99114
Phone: (509) 684-4597
Fax: (509) 684-5286

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  • Individual
  • Female
  • Peer Specialist

About ROSETTA DAVIS

This page provides the complete NPI Profile along with additional information for Rosetta Davis, a provider established in Colville, Washington with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1366915704 assigned on January 2019. The practitioner's primary taxonomy code is 175T00000X with license number CG60925012 (WA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1366915704
Provider Name
ROSETTA J DAVIS
Gender
Female
Entity Type
Individual
Location Address
165 E HAWTHORNE AVE COLVILLE, WA 99114
Location Phone
(509) 684-4597
Location Fax
(509) 684-5286
Mailing Address
165 E HAWTHORNE AVE COLVILLE, WA 99114
Mailing Phone
(509) 684-4597
Mailing Fax
(509) 684-5286
Is Sole Proprietor?
No
Enumeration Date
01-08-2019
Last Update Date
06-09-2022
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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
License No.
CG60925012
License State
WA
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

CG60925012 (WA)

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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.
1366915704
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231261811070
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 8 + 1 + 1 + 0 + 7 + 0 + 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 1366915704 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952470973 MARY M SHOVELL RC
Individual
Counselor (Mental Health)165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 684-4597
1861561367 JOHN M LAKE MSW, LISW
Individual
Counselor (Mental Health)165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 684-6172
1699844241 PAULA M GORMON CDP
Individual
Counselor (Addiction (Substance Use Disorder))165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 685-0656
1538238191 MARY L HAGSTROM CDP
Individual
Counselor (Addiction (Substance Use Disorder))165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 684-4597
1174692958 PAULA M CULLER MS, LMHC, DMHP
Individual
Counselor (Mental Health)165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 684-4597
1194894592 SHASTA L HINCKE RC
Individual
Counselor (Mental Health)165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 684-4597
1073682480 DANIEL O CLINGAMAN LMHC
Individual
Counselor (Mental Health)165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 684-4597
1952470510 DENNIS L HAWKINS CDP
Individual
Counselor (Addiction (Substance Use Disorder))165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 684-4597
1467522425 DEBRA L GUHLKE M ED, LMHC, DMHP
Individual
Counselor (Mental Health)165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 684-4597
1487724514 DEBORAH L BRINSON CDP
Individual
Counselor (Addiction (Substance Use Disorder))165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 685-0656
1053481028 DONNA L KRAFT M ED, LMHC, DMHP
Individual
Counselor (Mental Health)165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 684-4597
1669542650 JANICE E MAHURIN LMHC, NCC, DMHP
Individual
Counselor (Mental Health)165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 684-4597
1285704452 LESLEY L MANN LICSW, MSW
Individual
Counselor (Mental Health)165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 684-4597
1023188224 LAURA S JOHNSON CDPT
Individual
Counselor (Addiction (Substance Use Disorder))165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 684-4597
1902976012 CHRISTINE K ANDERSON-KUETER MA, LMHC
Individual
Counselor (Mental Health)165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 685-0656
1023180163 LIZANNE STOLWORTHY M. ED., LMHC, DMHP
Individual
Counselor (Mental Health)165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 684-4597
1346312493 RANDALL S WENRICH MA, LMHC, DMHP
Individual
Counselor (Mental Health)165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 684-4597
1427120799 JEFFREY W PACKER RC
Individual
Counselor (Mental Health)165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 684-4597
1073685186 LINDA M PAZERECKAS LMHC, MS, DMHP
Individual
Counselor (Mental Health)165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 684-4597
1669544771DR. DAVID M NIELSEN PH D
Individual
Psychologist165 E HAWTHORNE AVE
COLVILLE, WA 99114
(509) 684-4597

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366915704, enumerated in the NPI registry as an "individual" on January 08, 2019

The provider is located at 165 E Hawthorne Ave Colville, Wa 99114 and the phone number is (509) 684-4597

The provider's speciality is Peer Specialist with taxonomy code 175T00000X

This NPI record was last updated on January 08, 2019. 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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