JENNIFER CULLOM
NPI 1457895526
Peer Specialist in Holland, MI

NPI Status: Active since December 08, 2016

Contact Information

12265 JAMES ST
HOLLAND, MI
ZIP 49424
Phone: (616) 393-5600
Fax: (616) 393-5687

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  • Individual
  • Female
  • Peer Specialist

About JENNIFER CULLOM

This page provides the complete NPI Profile along with additional information for Jennifer Cullom, a provider established in Holland, Michigan with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1457895526 assigned on December 2016. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1457895526
Provider Name
JENNIFER CULLOM
Gender
Female
Entity Type
Individual
Location Address
12265 JAMES ST HOLLAND, MI 49424
Location Phone
(616) 393-5600
Location Fax
(616) 393-5687
Mailing Address
12265 JAMES ST HOLLAND, MI 49424
Mailing Phone
(616) 393-5600
Mailing Fax
(616) 393-5687
Is Sole Proprietor?
No
Enumeration Date
12-08-2016
Last Update Date
12-08-2016
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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.

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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.
1457895526
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241071691054
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 1 + 6 + 9 + 1 + 0 + 5 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1457895526 is valid because the calculated check digit 6 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
1619916814 PATRICIA J HOVING LMSW
Individual
Social Worker (Clinical)12265 JAMES ST
HOLLAND, MI 49424
(616) 494-5453
1912920190 ROBERT M MATYAS LMSW
Individual
Social Worker (Clinical)12265 JAMES ST
HOLLAND, MI 49424
(616) 494-5453
1760405914 DAVID JAMES MARANKA LMSW
Individual
Social Worker (Clinical)12265 JAMES ST
HOLLAND, MI 49424
(616) 494-5453
1194749812 MARY M DERKSEN CNS
Individual
Nurse Practitioner (Psychiatric/Mental Health)12265 JAMES ST
HOLLAND, MI 49424
(616) 494-5453
1154335388 CALVIN C TAYLOR LMSW
Individual
Social Worker (Clinical)12265 JAMES ST
HOLLAND, MI 49424
(616) 494-5453
1417971631 JANE A LONGSTREET LMSW
Individual
Social Worker (Clinical)12265 JAMES ST
HOLLAND, MI 49424
(616) 494-5453
1780698928 MICHAEL D WHITE LMSW
Individual
Social Worker (Clinical)12265 JAMES ST
HOLLAND, MI 49424
(616) 494-5453
1932123163 SUZANNE J RINGEWOLD LMSW
Individual
Social Worker (Clinical)12265 JAMES ST
HOLLAND, MI 49424
(616) 494-5453
1376567503 GEOFFREY J MASKOW LMSW
Individual
Social Worker (Clinical)12265 JAMES ST
HOLLAND, MI 49424
(616) 494-5453
1366466583 RICHARD D HUNTER LMSW
Individual
Social Worker (Clinical)12265 JAMES ST
HOLLAND, MI 49424
(616) 494-5453
1952318636DR. BRUCE WALTERS MD
Individual
Psychiatry & Neurology (Psychiatry)12265 JAMES ST
HOLLAND, MI 49424
(517) 545-5944
1659486686 FELICIA LYNN SHABAZZ LMSW
Individual
Social Worker (Clinical)12265 JAMES ST
HOLLAND, MI 49424
(616) 494-5453
1487762175 DIANE BRUURSEMA LMSW
Individual
Social Worker (Clinical)12265 JAMES ST
HOLLAND, MI 49424
(616) 494-5453
1619020898 RUTH ELAINE HOLTHUIS NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)12265 JAMES ST
HOLLAND, MI 49424
(616) 494-5453
1740314004 CHRISTOPHER THOMAS MADDEN LMSW
Individual
Social Worker (Clinical)12265 JAMES ST
HOLLAND, MI 49424
(616) 494-5450
1265566525 MAUREEN MARY RUSSELL LMSW
Individual
Social Worker (Clinical)12265 JAMES ST
HOLLAND, MI 49424
(616) 494-5445
1912031287 MICHELE LYN VANDERSCHEL LLP
Individual
Psychologist (Intellectual and Developmental Disabilities)12265 JAMES ST
HOLLAND, MI 49424
(616) 494-5453
1336476571 ANN MARIE HEERDE LMSW
Individual
Social Worker (Clinical)12265 JAMES ST
HOLLAND, MI 49424
(616) 393-5650
1669700290 DAVID KEITH NEAL LMSW
Individual
Social Worker (Clinical)12265 JAMES ST
HOLLAND, MI 49424
(616) 494-5439
1114242229MS. PEGGY LOMBARDI LBSW
Individual
Counselor (Mental Health)12265 JAMES ST
HOLLAND, MI 49424
(616) 494-5592

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457895526, enumerated in the NPI registry as an "individual" on December 08, 2016

The provider is located at 12265 James St Holland, Mi 49424 and the phone number is (616) 393-5600

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

This NPI record was last updated on December 08, 2016. 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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