MS. KERRY MICHELLE MICKEL QMHA-I
NPI 1790413821
Case Manager/Care Coordinator in Madras, OR
NPI Status: Active since August 08, 2022
Contact Information
850 SW 4TH ST STE 302
MADRAS, OR
ZIP 97741
Phone: (541) 475-6575
Fax: (541) 475-6196
- Individual
- Female
- Case Manager/Care Coordinator
About KERRY MICKEL
This page provides the complete NPI Profile along with additional information for Kerry Mickel, a provider established in Madras, Oregon with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1790413821 assigned on August 2022. The practitioner's primary taxonomy code is 171M00000X with license number 24-QMHA-I-004726 (OR). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1790413821
- Provider Name
- MS. KERRY MICHELLE MICKEL QMHA-I
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 850 SW 4TH ST STE 302 MADRAS, OR 97741
- Location Phone
- (541) 475-6575
- Location Fax
- (541) 475-6196
- Mailing Address
- 340 NW 5TH ST STE 203 REDMOND, OR 97756
- Mailing Phone
- (541) 516-4099
- Mailing Fax
- (541) 475-6196
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-08-2022
- Last Update Date
- 01-29-2025
- Code Navigator
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
Case Manager/Care Coordinator
- Taxonomy Code
- 171M00000X
- Type
- Other Service Providers
- License No.
- 24-QMHA-I-004726
- License State
- OR
- Taxonomy Description
- A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 24-QMHA-I-004726 (OR) |
| 2 | 175T00000X | Other Service Providers | Peer Specialist | (OR) |
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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 | 7 | 9 | 0 | 4 | 1 | 3 | 8 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 8 | 1 | 6 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 8 + 1 + 6 + 8 + 4 + 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 = 1 | 1 | ||||||||
The NPI number 1790413821 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801282611 | FREDRICK KANE LPC Individual | Counselor (Mental Health) | 850 SW 4TH ST STE 302 MADRAS, OR 97741 (541) 475-6575 |
| 1588328595 | DAVID E CHAMBERS QMHP Individual | Counselor (Mental Health) | 850 SW 4TH ST STE 302 MADRAS, OR 97741 (541) 475-6575 |
| 1467077628 | HOLLY BRANDT MS, QMHP-R Individual | Counselor (Mental Health) | 850 SW 4TH ST STE 302 MADRAS, OR 97741 (541) 475-6575 |
| 1538857685 | MS. NICOLLE TRACY Individual | Case Manager/Care Coordinator | 850 SW 4TH ST STE 302 MADRAS, OR 97741 (541) 475-6575 |
| 1740751619 | JIMMY GARCIA QMHP-R Individual | Counselor (Mental Health) | 850 SW 4TH ST STE 302 MADRAS, OR 97741 (541) 475-6575 |
| 1922651132 | ELIZABETH A MCCAY Individual | Counselor (Mental Health) | 850 SW 4TH ST STE 302 MADRAS, OR 97741 (541) 475-6575 |
| 1588446447 | PAIGE LYONS MS, QMHP-R Individual | Counselor (Mental Health) | 850 SW 4TH ST STE 302 MADRAS, OR 97741 (307) 751-9484 |
| 1225806011 | LEONARDO ZAMORA Individual | Peer Specialist | 850 SW 4TH ST STE 302 MADRAS, OR 97741 (541) 475-6575 |
| 1073972485 | RACHEL CARA GILL PSS Individual | Peer Specialist | 850 SW 4TH ST STE 302 MADRAS, OR 97741 (541) 475-6575 |
| 1700638616 | JOELLA SMITH CRM Individual | Peer Specialist | 850 SW 4TH ST STE 302 MADRAS, OR 97741 (541) 475-6575 |
| 1396599015 | RAYNA MORALES BRACAMONTES Individual | Case Manager/Care Coordinator | 850 SW 4TH ST STE 302 MADRAS, OR 97741 (541) 475-6575 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790413821, enumerated in the NPI registry as an "individual" on August 08, 2022
The provider is located at 850 Sw 4th St Ste 302 Madras, Or 97741 and the phone number is (541) 475-6575
The provider's speciality is Case Manager/Care Coordinator with taxonomy code 171M00000X
This NPI record was last updated on August 08, 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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