SHAE MORTAZAVI QBHP
NPI 1831779008
Case Manager/Care Coordinator in Harrison, AR
NPI Status: Active since April 12, 2021
Contact Information
114 E CRANDALL AVE STE B
HARRISON, AR
ZIP 72601
Phone: (870) 741-8484
Fax: (870) 741-4088
- Individual
- Female
- Case Manager/Care Coordinator
About SHAE MORTAZAVI
This page provides the complete NPI Profile along with additional information for Shae Mortazavi, a provider established in Harrison, Arkansas with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1831779008 assigned on April 2021. The practitioner's primary taxonomy code is 171M00000X with license number 0000 (AR). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1831779008
- Provider Name
- SHAE MORTAZAVI QBHP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 114 E CRANDALL AVE STE B HARRISON, AR 72601
- Location Phone
- (870) 741-8484
- Location Fax
- (870) 741-4088
- Mailing Address
- 2885 W BATTLEFIELD ST SPRINGFIELD, MO 65807
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-12-2021
- Last Update Date
- 04-12-2021
- 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.
- 0000
- License State
- AR
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| PENDING | MEDICAID (05) | AR |
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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 | 8 | 3 | 1 | 7 | 7 | 9 | 0 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 6 | 1 | 14 | 7 | 18 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 6 + 1 + 1 + 4 + 7 + 1 + 8 + 0 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1831779008 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1528310752 | MRS. HOLLY LOIS DUCK LPC,NCC Individual | Counselor (Professional) | 114 E CRANDALL AVE STE B HARRISON, AR 72601 (870) 741-8484 |
| 1053697607 | MELANIE BAILEY LPC Individual | Counselor (Mental Health) | 114 E CRANDALL AVE STE B HARRISON, AR 72601 (870) 741-8484 |
| 1669004115 | MARY K DARRELL BS, QBHP Individual | Case Manager/Care Coordinator | 114 E CRANDALL AVE STE B HARRISON, AR 72601 (870) 741-8484 |
| 1518599042 | GUNNER EVENSON QBHP Individual | Case Manager/Care Coordinator | 114 E CRANDALL AVE STE B HARRISON, AR 72601 (870) 741-8484 |
| 1912474297 | MICHELLE COFFMAN QBHP Individual | Case Manager/Care Coordinator | 114 E CRANDALL AVE STE B HARRISON, AR 72601 (870) 741-8484 |
| 1477184935 | ASHLEY TATUM MSW, LMSW Individual | Social Worker (Clinical) | 114 E CRANDALL AVE STE B HARRISON, AR 72601 (870) 741-8484 |
| 1700202991 | MRS. CINDY DAWN MAGNESS Individual | Counselor (Professional) | 114 E CRANDALL AVE STE B HARRISON, AR 72601 (870) 741-8484 |
| 1821370339 | KRISTIN BEIGHTOL MSW, LCSW, LADAC Individual | Social Worker (Clinical) | 114 E CRANDALL AVE STE B HARRISON, AR 72601 (870) 741-8484 |
| 1528671336 | TRISHA D WIATT MA, LAC Individual | Counselor (Professional) | 114 E CRANDALL AVE STE B HARRISON, AR 72601 (870) 741-8484 |
| 1427630862 | AMANDA GARBACZ QBHP Individual | Case Manager/Care Coordinator | 114 E CRANDALL AVE STE B HARRISON, AR 72601 (870) 741-8484 |
| 1083298285 | DOUGLAS YEAGER QBHP Individual | Case Manager/Care Coordinator | 114 E CRANDALL AVE STE B HARRISON, AR 72601 (870) 741-8484 |
| 1588237697 | ELIZABETH WOLFE LMSW Individual | Social Worker (Clinical) | 114 E CRANDALL AVE STE B HARRISON, AR 72601 (870) 741-8484 |
| 1790444842 | KRISTEN MCPHETRIDGE-GRUBB BS, QBHP Individual | Case Manager/Care Coordinator | 114 E CRANDALL AVE STE B HARRISON, AR 72601 (870) 741-8484 |
| 1750962635 | SARAH MOORE BA, QBHP Individual | Case Manager/Care Coordinator | 114 E CRANDALL AVE STE B HARRISON, AR 72601 (870) 741-8484 |
| 1326472549 | MARY HALPIN QBHP Individual | Case Manager/Care Coordinator | 114 E CRANDALL AVE STE B HARRISON, AR 72601 (870) 741-8484 |
| 1073146510 | CASSIDY GRAHAM MSW, LCSW Individual | Social Worker (Clinical) | 114 E CRANDALL AVE STE B HARRISON, AR 72601 (870) 741-8484 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831779008, enumerated in the NPI registry as an "individual" on April 12, 2021
The provider is located at 114 E Crandall Ave Ste B Harrison, Ar 72601 and the phone number is (870) 741-8484
The provider's speciality is Case Manager/Care Coordinator with taxonomy code 171M00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 12, 2021. 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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