SECOND CHANCES PEER SUPPORT LLC
NPI 1073458220
Peer Specialist in Charlotte, NC

NPI Status: Active since April 22, 2026

Contact Information

3226 LILAC GROVE DR
CHARLOTTE, NC
ZIP 28269
Phone: (704) 299-2825
Fax: (704) 299-2825

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  • Organization
  • Peer Specialist

About SECOND CHANCES PEER SUPPORT LLC

This page provides the complete NPI Profile along with additional information for Second Chances Peer Support Llc, a provider established in Charlotte, North Carolina operating as a Peer Specialist. The healthcare provider is registered in the NPI registry with number 1073458220 assigned on April 2026. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an organization and their NPI record was last updated April 2026. Second Chances Peer Support Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ebony Keith Keith (Cfo)

NPI
1073458220
Provider Name
SECOND CHANCES PEER SUPPORT LLC
Entity Type
Organization
Location Address
3226 LILAC GROVE DR CHARLOTTE, NC 28269
Location Phone
(704) 299-2825
Location Fax
(704) 299-2825
Mailing Address
3226 LILAC GROVE DR CHARLOTTE, NC 28269
Mailing Phone
(704) 299-2825
Mailing Fax
(704) 299-2825
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2026
Last Update Date
04-22-2026
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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
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EBONY KEITH KEITH

Authorized Official Title
CFO
Authorized Official Phone
(704) 299-2825

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073458220, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 4 → 8 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 8 + 5 + 1 + 6 + 2 + 4 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1073458220.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073458220, enumerated as an "organization" on April 22, 2026.

The provider is located at 3226 LILAC GROVE DR CHARLOTTE, NC 28269 and the phone number is (704) 299-2825.

Peer Specialist with taxonomy code 175T00000X.