MR. RODERICK DEJUAN PETERSON SR. MA, LLPC, CAAC, CCSM
NPI 1679742928
Counselor - Professional in Romulus, MI

NPI Status: Active since February 20, 2008

Contact Information

7845 MIDDLEBELT RD STE 201
ROMULUS, MI
ZIP 48174
Phone: (734) 721-0900

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  • Individual
  • Male
  • Counselor
  • Professional

About RODERICK PETERSON

This page provides the complete NPI Profile along with additional information for Roderick Peterson, a provider established in Romulus, Michigan with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1679742928 assigned on February 2008. The practitioner's primary taxonomy code is 101YP2500X with license number 1972368 (MI). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1679742928
Provider Name
MR. RODERICK DEJUAN PETERSON SR. MA, LLPC, CAAC, CCSM
Gender
Male
Entity Type
Individual
Location Address
7845 MIDDLEBELT RD STE 201 ROMULUS, MI 48174
Location Phone
(734) 721-0900
Mailing Address
7845 MIDDLEBELT RD STE 201 ROMULUS, MI 48174
Mailing Phone
(734) 721-0900
Is Sole Proprietor?
No
Enumeration Date
02-20-2008
Last Update Date
02-20-2008
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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

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
1972368
License State
MI

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)

S-10019 (MI)
2101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

C-00234 (MI)

Reviews for MR. RODERICK DEJUAN PETERSON SR. MA, LLPC, CAAC, CCSM

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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.
1679742928
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26149144494
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 4 + 4 + 4 + 9 + 4 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1679742928 is valid because the calculated check digit 8 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 1679742928, enumerated in the NPI registry as an "individual" on February 20, 2008

The provider is located at 7845 Middlebelt Rd Ste 201 Romulus, Mi 48174 and the phone number is (734) 721-0900

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

This NPI record was last updated on February 20, 2008. 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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