IAN SEWARD KENNINGTON
NPI 1831967850
Peer Specialist in Coos Bay, OR

NPI Status: Active since December 19, 2023

Contact Information

155 S EMPIRE BLVD
COOS BAY, OR
ZIP 97420
Phone: (541) 756-3111
Fax: (541) 756-2111

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  • Individual
  • Male
  • Peer Specialist

About IAN KENNINGTON

This page provides the complete NPI Profile along with additional information for Ian Kennington, a provider established in Coos Bay, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1831967850 assigned on December 2023. The practitioner's primary taxonomy code is 175T00000X with license number 23-CRM-2708 (OR). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1831967850
Provider Name
IAN SEWARD KENNINGTON
Gender
Male
Entity Type
Individual
Location Address
155 S EMPIRE BLVD COOS BAY, OR 97420
Location Phone
(541) 756-3111
Location Fax
(541) 756-2111
Mailing Address
155 S EMPIRE BLVD COOS BAY, OR 97420
Mailing Phone
(541) 756-3111
Mailing Fax
(541) 756-2111
Is Sole Proprietor?
No
Enumeration Date
12-19-2023
Last Update Date
12-19-2023
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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.
23-CRM-2708
License State
OR
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.
1831967850
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
286118614810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 1 + 8 + 6 + 1 + 4 + 8 + 1 + 0 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1831967850 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437628682 CARILEA DEBBAN
Individual
Counselor (Addiction (Substance Use Disorder))155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 756-3111
1013487404 JASON ALLEN PAUL PSS, CRM
Individual
Peer Specialist155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 756-3111
1467856922 CAROLYN LOUISE BILLMAN CADC III
Individual
Counselor (Addiction (Substance Use Disorder))155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 756-3111
1144785064 RONNI WALTZ PSS
Individual
Peer Specialist155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 756-3111
1245795095 DIANA JULIANNE COLLINS PSS
Individual
Peer Specialist155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 756-3111
1982172730 STEVEN C SANDEN CADC I, CRM, PWS
Individual
Counselor (Addiction (Substance Use Disorder))155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 756-3111
1114499324 TASHA ANNE WALTER CADC 1, CRM, PSS
Individual
Counselor (Addiction (Substance Use Disorder))155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 756-3111
1730743535 PAUL GONZALES CRM
Individual
Peer Specialist155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 756-3111
1528429024MRS. BRANDY DAVENPORT CADC
Individual
Counselor (Addiction (Substance Use Disorder))155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 765-3111
1356841076 KURT BRADFORD SMITH CADC II, CRM, QMHA
Individual
Counselor (Addiction (Substance Use Disorder))155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 435-1152
1396201216MR. ANTHONY L WILSON CRM
Individual
Peer Specialist155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 256-4686
1376174003 JOSHUA JAY HAYNES
Individual
Peer Specialist155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 256-4687
1013536986 WILLIAM TODD STONE CRM
Individual
Peer Specialist155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 756-3111
1003445875 SARAH SUSAN TUCKER CRM
Individual
Peer Specialist155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 756-3111
1154944346 ANDREA GROSS
Individual
Peer Specialist155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 756-3111
1215550934 TABETHA LYNN EVERNDEN CRM
Individual
Peer Specialist155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 756-3111
1275296626 SEAN FARRELL
Individual
Peer Specialist155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 209-4981
1073226890 KELLY MARIE HERZOG
Individual
Peer Specialist155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 756-3111
1871205708 SHANNA NICOLE SMITH CRM,PWS
Individual
Peer Specialist155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 256-4635
1538849476 KELLY RAY CROWDER JR.
Individual
Peer Specialist155 S EMPIRE BLVD
COOS BAY, OR 97420
(541) 756-3111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831967850, enumerated in the NPI registry as an "individual" on December 19, 2023

The provider is located at 155 S Empire Blvd Coos Bay, Or 97420 and the phone number is (541) 756-3111

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

This NPI record was last updated on December 19, 2023. 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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