SUSAN MICHELLE STACY C-PRSS
NPI 1124511639
Peer Specialist in Mcloud, OK

NPI Status: Active since June 08, 2018

Contact Information

105365 S HIGHWAY 102
MCLOUD, OK
ZIP 74851
Phone: (405) 988-2071

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  • Individual
  • Female
  • Peer Specialist

About SUSAN STACY

This page provides the complete NPI Profile along with additional information for Susan Stacy, a provider established in Mcloud, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1124511639 assigned on June 2018. The practitioner's primary taxonomy code is 175T00000X with license number 132075 (OK). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1124511639
Provider Name
SUSAN MICHELLE STACY C-PRSS
Gender
Female
Entity Type
Individual
Location Address
105365 S HIGHWAY 102 MCLOUD, OK 74851
Location Phone
(405) 988-2071
Mailing Address
105365 S HIGHWAY 102 MCLOUD, OK 74851
Mailing Phone
(405) 988-2071
Is Sole Proprietor?
No
Enumeration Date
06-08-2018
Last Update Date
11-07-2022
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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.
132075
License State
OK
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.

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)
1104100000XBehavioral Health & Social Service Providers

Social Worker

 
2175T00000XOther Service Providers

Peer Specialist

13205 (OK)

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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 1124511639, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
9
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 2 → 4 5 → 10 → 1 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 1 + 0 + 1 + 2 + 6 + 6 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1124511639.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Pharmacist
105365 S HIGHWAY 102
MCLOUD, OK 74851
Social Worker (Clinical)
105365 S HIGHWAY 102
MCLOUD, OK 74851
Social Worker (Clinical)
105365 S HIGHWAY 102
MCLOUD, OK 74851
Pharmacist
105365 S HIGHWAY 102
MCLOUD, OK 74851
Registered Nurse (Diabetes Educator)
105365 S HIGHWAY 102
MCLOUD, OK 74851
Case Manager/Care Coordinator
105365 S HIGHWAY 102
MCLOUD, OK 74851
Case Manager/Care Coordinator
105365 S HIGHWAY 102
MCLOUD, OK 74851
Counselor
105365 S HIGHWAY 102
MCLOUD, OK 74851
Physician Assistant (Medical)
105365 S HIGHWAY 102
MCLOUD, OK 74851
Social Worker (Clinical)
105365 S HIGHWAY 102
MCLOUD, OK 74851
Pharmacist
105365 S HIGHWAY 102
MCLOUD, OK 74851
Counselor (Mental Health)
105365 S HIGHWAY 102
MCLOUD, OK 74851
Case Manager/Care Coordinator
105365 S HIGHWAY 102
MCLOUD, OK 74851

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124511639, enumerated as an "individual" on June 08, 2018.

The provider is located at 105365 S HIGHWAY 102 MCLOUD, OK 74851 and the phone number is (405) 988-2071.

Peer Specialist with taxonomy code 175T00000X.