LEROY JOHN KLASSEN
NPI 1669162715
Peer Specialist in Ganado, AZ

NPI Status: Active since May 11, 2023

Contact Information

SR 264 & HWY 191
GANADO, AZ
ZIP 86505
Phone: (928) 755-4694
Fax: (928) 755-4747

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  • Individual
  • Male
  • Peer Specialist

About LEROY KLASSEN

This page provides the complete NPI Profile along with additional information for Leroy Klassen, a provider established in Ganado, Arizona with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1669162715 assigned on May 2023. The practitioner's primary taxonomy code is 175T00000X with license number UA2022082508 (AZ). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1669162715
Provider Name
LEROY JOHN KLASSEN
Gender
Male
Entity Type
Individual
Location Address
SR 264 & HWY 191 GANADO, AZ 86505
Location Phone
(928) 755-4694
Location Fax
(928) 755-4747
Mailing Address
PO BOX 176 GANADO, AZ 86505
Mailing Phone
(928) 206-8231
Is Sole Proprietor?
Yes
Enumeration Date
05-11-2023
Last Update Date
05-17-2023
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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 No.
UA2022082508
License State
AZ
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.
1669162715
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2612926472
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 2 + 6 + 4 + 7 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1669162715 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528758695 MICHELLE CARMEN DALE
Individual
Peer SpecialistSR 264 & HWY 191
GANADO, AZ 86505
(928) 755-4586
1639755952 COLLEEN FRANK FNP
Individual
Nurse Practitioner (Family)SR 264 & HWY 191
GANADO, AZ 86505
(928) 755-4632

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669162715, enumerated in the NPI registry as an "individual" on May 11, 2023

The provider is located at Sr 264 & Hwy 191 Ganado, Az 86505 and the phone number is (928) 755-4694

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

This NPI record was last updated on May 11, 2023. 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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