TERRELL JASON FORTUNE
NPI 1720349731
Counselor - Addiction (Substance Use Disorder) in San Mateo, CA

NPI Status: Active since June 06, 2012

Contact Information

720 S. B ST.
SAN MATEO, CA
ZIP 94401
Phone: (650) 579-7157
Fax: (650) 579-5530

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  • Individual
  • Male
  • Counselor
  • Addiction (Substance Use Disorder)

About TERRELL FORTUNE

This page provides the complete NPI Profile along with additional information for Terrell Fortune, a provider established in San Mateo, California with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1720349731 assigned on June 2012. The practitioner's primary taxonomy code is 101YA0400X. The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1720349731
Provider Name
TERRELL JASON FORTUNE
Gender
Male
Entity Type
Individual
Location Address
720 S. B ST. SAN MATEO, CA 94401
Location Phone
(650) 579-7157
Location Fax
(650) 579-5530
Mailing Address
720 S. B ST. SAN MATEO, CA 94401
Mailing Phone
(650) 579-7157
Mailing Fax
(650) 579-5530
Is Sole Proprietor?
Yes
Enumeration Date
06-06-2012
Last Update Date
06-06-2012
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A Substance Abuse or Addiction Counselor like Terrell Fortune advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

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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 Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
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.
1720349731
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740641876
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 6 + 4 + 1 + 8 + 7 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1720349731 is valid because the calculated check digit 1 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 1720349731, enumerated in the NPI registry as an "individual" on June 06, 2012

The provider is located at 720 S. B St. San Mateo, Ca 94401 and the phone number is (650) 579-7157

The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)

This NPI record was last updated on June 06, 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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