MRS. KYLEE AYLEEN PETERSEN HUMAN SERVICES
NPI 1376033340
Case Manager/Care Coordinator in Ukiah, CA
NPI Status: Active since May 15, 2018
Contact Information
148 CLARA AVE
UKIAH, CA
ZIP 95482
Phone: (707) 462-1932
Fax: (707) 489-6943
- Individual
- Female
- Case Manager/Care Coordinator
About KYLEE PETERSEN
This page provides the complete NPI Profile along with additional information for Kylee Petersen, a provider established in Ukiah, California with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1376033340 assigned on May 2018. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and her NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1376033340
- Provider Name
- MRS. KYLEE AYLEEN PETERSEN HUMAN SERVICES
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 148 CLARA AVE UKIAH, CA 95482
- Location Phone
- (707) 462-1932
- Location Fax
- (707) 489-6943
- Mailing Address
- PO BOX 1350 UKIAH, CA 95482
- Mailing Phone
- (707) 462-1932
- Mailing Fax
- (707) 489-6943
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-15-2018
- Last Update Date
- 06-16-2018
- 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
- License State
- CA
- 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.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1427470186 | MEDICAID (05) | CA |
Reviews for MRS. KYLEE AYLEEN PETERSEN HUMAN SERVICES
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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 | 3 | 7 | 6 | 0 | 3 | 3 | 3 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 14 | 6 | 0 | 3 | 6 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 4 + 6 + 0 + 3 + 6 + 3 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1376033340 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427470186 | MENDOCINO COUNTY AIDS VOLUNTEER NETWORK Organization | Case Management | 148 CLARA AVE UKIAH, CA 95482 (707) 462-1932 |
| 1790109452 | MR. ANTHONY CELLINI Individual | Case Manager/Care Coordinator | 148 CLARA AVE UKIAH, CA 95482 (707) 462-1932 |
| 1053737007 | DR. ELIZABETH (LIBBY) ANN GUTHRIE ED.D.,M.A. Individual | Case Manager/Care Coordinator | 148 CLARA AVE UKIAH, CA 95482 (707) 462-1932 |
| 1962828905 | JOHN WEBER Individual | Case Manager/Care Coordinator | 148 CLARA AVE UKIAH, CA 95482 (707) 462-1930 |
| 1205288792 | AMANDA MARIE COGGINS Individual | Case Management | 148 CLARA AVE UKIAH, CA 95482 (707) 462-1932 |
| 1811447188 | SUSAN RENEE MCCOY Individual | Counselor (Mental Health) | 148 CLARA AVE UKIAH, CA 95482 (707) 462-1932 |
| 1578005922 | MRS. NINA MARIE GOODSON Individual | Counselor (Mental Health) | 148 CLARA AVE UKIAH, CA 95482 (707) 462-1932 |
| 1174056436 | VANESSA MILLER Individual | Case Management | 148 CLARA AVE UKIAH, CA 95482 (707) 462-1932 |
| 1023541406 | MENDOCINO COUNTY AIDS/VIRAL HEPATITIS NETWORK Organization | Case Management | 148 CLARA AVE UKIAH, CA 95482 (707) 462-1932 |
| 1396304671 | GRACE PEELER STANKIEWICZ Individual | Case Manager/Care Coordinator | 148 CLARA AVE UKIAH, CA 95482 (707) 462-1932 |
| 1790326684 | BEN PINOL B.S. HEALTH SCIENCE Individual | Case Manager/Care Coordinator | 148 CLARA AVE UKIAH, CA 95482 (707) 462-1932 |
| 1255978318 | ANGELA POWER Individual | Case Manager/Care Coordinator | 148 CLARA AVE UKIAH, CA 95482 (707) 462-1932 |
| 1497370316 | TAMI CANOVAS Individual | Case Manager/Care Coordinator | 148 CLARA AVE UKIAH, CA 95482 (707) 462-1932 |
| 1801407507 | JAKE PETRYKOWSKI Individual | Case Manager/Care Coordinator | 148 CLARA AVE UKIAH, CA 95482 (707) 462-1932 |
| 1366025512 | DEREK STEVEN EASTEP Individual | Case Manager/Care Coordinator | 148 CLARA AVE UKIAH, CA 95482 (707) 462-1932 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376033340, enumerated in the NPI registry as an "individual" on May 15, 2018
The provider is located at 148 Clara Ave Ukiah, Ca 95482 and the phone number is (707) 462-1932
The provider's speciality is Case Manager/Care Coordinator with taxonomy code 171M00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 15, 2018. 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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