JUSTIN RAY ROBERTS
NPI 1730896143
Peer Specialist in Vancouver, WA

NPI Status: Active since November 04, 2022

Contact Information

5197 NW LOWER RIVER RD BUILDING #1
VANCOUVER, WA
ZIP 98660
Phone: (360) 205-1222

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  • Individual
  • Male
  • Peer Specialist

About JUSTIN ROBERTS

This page provides the complete NPI Profile along with additional information for Justin Roberts, a provider established in Vancouver, Washington with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1730896143 assigned on November 2022. The practitioner's primary taxonomy code is 175T00000X with license number 175T00000X (WA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1730896143
Provider Name
JUSTIN RAY ROBERTS
Gender
Male
Entity Type
Individual
Location Address
5197 NW LOWER RIVER RD BUILDING #1 VANCOUVER, WA 98660
Location Phone
(360) 205-1222
Mailing Address
3703 NE 54TH ST VANCOUVER, WA 98661
Mailing Phone
(360) 409-9906
Is Sole Proprietor?
Yes
Enumeration Date
11-04-2022
Last Update Date
11-04-2022
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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.
175T00000X
License State
WA
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.
1730896143
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27601691218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 1 + 6 + 9 + 1 + 2 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1730896143 is valid because the calculated check digit 3 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 1730896143, enumerated in the NPI registry as an "individual" on November 04, 2022

The provider is located at 5197 Nw Lower River Rd Building #1 Vancouver, Wa 98660 and the phone number is (360) 205-1222

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

This NPI record was last updated on November 04, 2022. 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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