MR. KYLE JAMISON PENNIMAN MSW, LISAC, CADAC
NPI 1922267079
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ
NPI Status: Active since June 04, 2008
Contact Information
4020 N 20TH ST STE 302
PHOENIX, AZ
ZIP 85016
Phone: (602) 535-6468
- Individual
- Male
- Counselor
- Addiction (Substance Use Disorder)
- Accepts Insurance
About KYLE PENNIMAN
This page provides the complete NPI Profile along with additional information for Kyle Penniman, a provider established in Phoenix, Arizona with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1922267079 assigned on June 2008. 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
- 1922267079
- Provider Name
- MR. KYLE JAMISON PENNIMAN MSW, LISAC, CADAC
- Other Name
- COURTNEY PENNIMAN MSW, LISAC, CADAC
- Other Name Type
- Former Name (1)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4020 N 20TH ST STE 302 PHOENIX, AZ 85016
- Location Phone
- (602) 535-6468
- Mailing Address
- 4020 N 20TH ST STE 302 PHOENIX, AZ 85016
- Mailing Phone
- (602) 535-6468
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-04-2008
- Last Update Date
- 07-27-2012
- Code Navigator
A Substance Abuse or Addiction Counselor like Kyle Penniman 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.
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
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- Connect Bronze 6800 Indiv Med Deductible - HMO
- Connect Bronze 8900 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold 2500 Indiv Med Deductible - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 4000 Indiv Med Deductible - HMO
- Connect Silver 5000 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for MR. KYLE JAMISON PENNIMAN MSW, LISAC, CADAC
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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 | 9 | 2 | 2 | 2 | 6 | 7 | 0 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 4 | 6 | 14 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 4 + 6 + 1 + 4 + 0 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1922267079 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972838167 | STONEWALL INSTITUTE, LLC Organization | Community/Behavioral Health | 4020 N 20TH ST STE 302 PHOENIX, AZ 85016 (602) 535-6468 |
| 1720646029 | MICHAEL S SHAFER MC Individual | Counselor | 4020 N 20TH ST STE 302 PHOENIX, AZ 85016 (602) 535-6468 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922267079, enumerated in the NPI registry as an "individual" on June 04, 2008
The provider is located at 4020 N 20th St Ste 302 Phoenix, Az 85016 and the phone number is (602) 535-6468
The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona and Cigna. 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 June 04, 2008. 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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