KELLY MARIE CLARK AAC
NPI 1477897916
Peer Specialist in Everett, WA
NPI Status: Active since November 22, 2012
Contact Information
811 MADISON ST
EVERETT, WA
ZIP 98203
Phone: (425) 212-4200
Fax: (425) 212-4201
- Individual
- Female
- Peer Specialist
About KELLY CLARK
This page provides the complete NPI Profile along with additional information for Kelly Clark, a provider established in Everett, Washington with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1477897916 assigned on November 2012. The practitioner's primary taxonomy code is 175T00000X with license number 1477897916 (WA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1477897916
- Provider Name
- KELLY MARIE CLARK AAC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 811 MADISON ST EVERETT, WA 98203
- Location Phone
- (425) 212-4200
- Location Fax
- (425) 212-4201
- Mailing Address
- 1100 S 2ND ST MOUNT VERNON, WA 98273
- Mailing Phone
- (360) 419-3500
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-22-2012
- Last Update Date
- 03-17-2018
- Code Navigator
Location Map
Secondary Locations
- 1100 S 2nd St
Mount Vernon, WA 98273
(360) 419-3500
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.
- 1477897916
- 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) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor |
Reviews for KELLY MARIE CLARK AAC
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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 | 4 | 7 | 7 | 8 | 9 | 7 | 9 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 16 | 9 | 14 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 6 + 9 + 1 + 4 + 9 + 2 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1477897916 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 |
|---|---|---|---|
| 1699964049 | MS. JANET LEA MOTT Individual | Counselor (Mental Health) | 811 MADISON ST EVERETT, WA 98203 (425) 212-4214 |
| 1255513917 | MS. DEBBIE HESLOP M.ED. Individual | Social Worker (Clinical) | 811 MADISON ST EVERETT, WA 98203 (425) 263-2880 |
| 1336311398 | MRS. DEVORA ANN BILLS Individual | Counselor | 811 MADISON ST EVERETT, WA 98203 (425) 347-3149 |
| 1487828687 | TERESA ROSE BANGHART Individual | Counselor | 811 MADISON ST EVERETT, WA 98203 (425) 347-3149 |
| 1891955118 | MS. JEANNE MARIE SLONECKER MA Individual | Counselor (Mental Health) | 811 MADISON ST EVERETT, WA 98203 (425) 347-3149 |
| 1710149612 | MS. HEATHER ANNE SILVA MA Individual | Counselor (Mental Health) | 811 MADISON ST EVERETT, WA 98203 (425) 347-3149 |
| 1952564684 | MS. MICHELLE BARNES Individual | Counselor (Mental Health) | 811 MADISON ST EVERETT, WA 98203 (425) 347-3149 |
| 1316100035 | RENEE MARSLAND Individual | Counselor (Mental Health) | 811 MADISON ST EVERETT, WA 98203 (425) 347-3149 |
| 1306009022 | KARA SCHUBERT Individual | Counselor (Mental Health) | 811 MADISON ST EVERETT, WA 98203 (425) 347-3149 |
| 1962665539 | ANTONELLA NOVI Individual | Counselor | 811 MADISON ST EVERETT, WA 98203 (425) 347-3149 |
| 1275796708 | GENNIFER BRIGGS Individual | Counselor | 811 MADISON ST EVERETT, WA 98203 (425) 374-5865 |
| 1013170562 | RENAE MORSE Individual | Counselor | 811 MADISON ST EVERETT, WA 98203 (425) 347-3149 |
| 1568625622 | MS. LYNEEKA JANEE COLLINS Individual | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 811 MADISON ST EVERETT, WA 98203 (425) 212-4283 |
| 1477716538 | MS. JACQUEINE MISHAWN ECHOLS Individual | Counselor (Mental Health) | 811 MADISON ST EVERETT, WA 98203 (425) 212-4262 |
| 1043473929 | MERLINE OLORUNISHOLA Individual | Counselor | 811 MADISON ST EVERETT, WA 98203 (425) 347-3149 |
| 1447415492 | MS. SUE A. CLOSSER Individual | Counselor | 811 MADISON ST EVERETT, WA 98203 (425) 347-3149 |
| 1427213040 | TAMARA LYNNE YANCY RC Individual | Counselor | 811 MADISON ST EVERETT, WA 98203 (425) 347-3149 |
| 1487800561 | NANCY KAYE STORM Individual | Counselor | 811 MADISON ST EVERETT, WA 98203 (425) 212-4255 |
| 1285880989 | MS. CARLY DENISE MATHEWS Individual | Counselor | 811 MADISON ST EVERETT, WA 98203 (425) 374-5861 |
| 1134376502 | MICHELE YEVONNE BOGUE' MA Individual | Counselor | 811 MADISON ST EVERETT, WA 98203 (425) 374-5863 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477897916, enumerated in the NPI registry as an "individual" on November 22, 2012
The provider is located at 811 Madison St Everett, Wa 98203 and the phone number is (425) 212-4200
The provider's speciality is Peer Specialist with taxonomy code 175T00000X
This NPI record was last updated on November 22, 2012. 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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