JACK KEENAN
NPI 1649641812
Counselor - Mental Health in Portland, OR
NPI Status: Active since October 14, 2015
Contact Information
3530 SE 136TH AVE APT 5
PORTLAND, OR
ZIP 97236
Phone: (503) 719-4535
Fax: (503) 719-4537
- Individual
- Male
- Counselor
- Mental Health
About JACK KEENAN
This page provides the complete NPI Profile along with additional information for Jack Keenan, a provider established in Portland, Oregon with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1649641812 assigned on October 2015. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1649641812
- Provider Name
- JACK KEENAN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3530 SE 136TH AVE APT 5 PORTLAND, OR 97236
- Location Phone
- (503) 719-4535
- Location Fax
- (503) 719-4537
- Mailing Address
- 3587 HEATHROW WAY MEDFORD, OR 97504
- Mailing Phone
- (347) 406-2922
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-14-2015
- Last Update Date
- 02-18-2016
- Code Navigator
A mental health counselor like Jack Keenan provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
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
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
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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 | 6 | 4 | 9 | 6 | 4 | 1 | 8 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 12 | 4 | 2 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 1 + 2 + 4 + 2 + 8 + 2 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1649641812 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306244082 | CHARLES MERCIER Individual | Social Worker (Clinical) | 3530 SE 136TH AVE APT 5 PORTLAND, OR 97236 (503) 719-4535 |
| 1629467527 | RITA PENKIN Individual | Social Worker (Clinical) | 3530 SE 136TH AVE APT 5 PORTLAND, OR 97236 (503) 719-4535 |
| 1386028579 | VIOLET KAWANO Individual | Social Worker (Clinical) | 3530 SE 136TH AVE APT 5 PORTLAND, OR 97236 (503) 719-4535 |
| 1528466281 | MATTHEW PEPITONE Individual | Counselor (Mental Health) | 3530 SE 136TH AVE APT 5 PORTLAND, OR 97236 (503) 719-4535 |
| 1154729739 | JANINE-ANNE LUI Individual | Counselor (Mental Health) | 3530 SE 136TH AVE APT 5 PORTLAND, OR 97236 (503) 719-4535 |
| 1922482116 | BYRON GALLOWAY Individual | Counselor (Mental Health) | 3530 SE 136TH AVE APT 5 PORTLAND, OR 97236 (503) 719-4535 |
| 1609248905 | JOHN CHAPLOW Individual | Counselor (Mental Health) | 3530 SE 136TH AVE APT 5 PORTLAND, OR 97236 (503) 719-4535 |
| 1427503002 | ELIZABETH AGUON Individual | Counselor (Mental Health) | 3530 SE 136TH AVE APT 5 PORTLAND, OR 97236 (503) 719-4535 |
| 1497204812 | CARISSA BURKETT Individual | Counselor (Mental Health) | 3530 SE 136TH AVE APT 5 PORTLAND, OR 97236 (503) 719-4535 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649641812, enumerated in the NPI registry as an "individual" on October 14, 2015
The provider is located at 3530 Se 136th Ave Apt 5 Portland, Or 97236 and the phone number is (503) 719-4535
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
This NPI record was last updated on October 14, 2015. 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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