MRS. ANNETTE GIBSON CDCA
NPI 1619513470
Peer Specialist in Cleveland, OH

NPI Status: Active since November 26, 2019

Contact Information

16001 HOLMES AVE
CLEVELAND, OH
ZIP 44110
Phone: (216) 352-0200

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  • Individual
  • Female
  • Peer Specialist

About ANNETTE GIBSON

This page provides the complete NPI Profile along with additional information for Annette Gibson, a provider established in Cleveland, Ohio with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1619513470 assigned on November 2019. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1619513470
Provider Name
MRS. ANNETTE GIBSON CDCA
Gender
Female
Entity Type
Individual
Location Address
16001 HOLMES AVE CLEVELAND, OH 44110
Location Phone
(216) 352-0200
Mailing Address
1624 RYDALMOUNT RD CLEVELAND HTS, OH 44118
Mailing Phone
(216) 716-9998
Is Sole Proprietor?
No
Enumeration Date
11-26-2019
Last Update Date
02-20-2023
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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 State
OH
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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

CDCA.171746 (OH)

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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.
1619513470
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26291016414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 1 + 0 + 1 + 6 + 4 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1619513470 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619513470, enumerated in the NPI registry as an "individual" on November 26, 2019

The provider is located at 16001 Holmes Ave Cleveland, Oh 44110 and the phone number is (216) 352-0200

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

This NPI record was last updated on November 26, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.