KELLY JANE YOUNG CRADC
NPI 1104588177
Clinic/Center - Rehabilitation, Substance Use Disorder in Joplin, MO
NPI Status: Active since October 07, 2021
Contact Information
501 S PENNSYLVANIA AVE
JOPLIN, MO
ZIP 64801
Phone: (417) 553-0043
Fax: (417) 553-0081
- Individual
- Female
- Clinic/Center
- Rehabilitation, Substance Use Disorder
About KELLY YOUNG
This page provides the complete NPI Profile along with additional information for Kelly Young, a provider established in Joplin, Missouri with a medical specialization in Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1104588177 assigned on October 2021. The practitioner's primary taxonomy code is 261QR0405X with license number 2821 (MO). The provider is registered as an individual and her NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1104588177
- Provider Name
- KELLY JANE YOUNG CRADC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 501 S PENNSYLVANIA AVE JOPLIN, MO 64801
- Location Phone
- (417) 553-0043
- Location Fax
- (417) 553-0081
- Mailing Address
- 501 S PENNSYLVANIA AVE JOPLIN, MO 64801
- Mailing Phone
- (417) 553-0043
- Mailing Fax
- (417) 553-0081
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-07-2021
- Last Update Date
- 10-07-2021
- 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
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
- License No.
- 2821
- License State
- MO
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 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 4486 (MO) |
| 2 | 175T00000X | Other Service Providers | Peer Specialist | 10017 |
| 3 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | 2821 (MO) |
| 4 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | 2821 (MO) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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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 1104588177, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
JOPLIN, MO 64801
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104588177, enumerated as an "individual" on October 07, 2021.
The provider is located at 501 S PENNSYLVANIA AVE JOPLIN, MO 64801 and the phone number is (417) 553-0043.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
