KENNETH DANIEL VAN BUREN I CPS
NPI 1134974645
Peer Specialist in Florissant, MO

NPI Status: Active since April 18, 2024

Contact Information

6854 PARKER RD
FLORISSANT, MO
ZIP 63033
Phone: (314) 286-6988

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  • Individual
  • Male
  • Peer Specialist

About KENNETH VAN BUREN

This page provides the complete NPI Profile along with additional information for Kenneth Van Buren, a provider established in Florissant, Missouri with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1134974645 assigned on April 2024. The practitioner's primary taxonomy code is 175T00000X with license number 10764 (MO). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1134974645
Provider Name
KENNETH DANIEL VAN BUREN I CPS
Gender
Male
Entity Type
Individual
Location Address
6854 PARKER RD FLORISSANT, MO 63033
Location Phone
(314) 286-6988
Mailing Address
6854 PARKER RD FLORISSANT, MO 63033
Mailing Phone
(314) 286-6988
Is Sole Proprietor?
No
Enumeration Date
04-18-2024
Last Update Date
04-18-2024
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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.
10764
License State
MO
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.
1134974645
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164187868
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 8 + 7 + 8 + 6 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1134974645 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

ST. LOUIS JC VAMC

Clinic/Center

(VA)

6854 PARKER RD
FLORISSANT, MO
ZIP 63033

(913) 578-4409

KELSEY RAE HABIGHORST

Pharmacy Technician

6854 PARKER RD
FLORISSANT, MO
ZIP 63033

(314) 652-4100

MONICA ELAINE DRAKE

Registered Nurse

(Ambulatory Care)

6854 PARKER RD
FLORISSANT, MO
ZIP 63033

(314) 652-4100

MS. ANNETTE MARIE TEMPLETON

Registered Nurse

6854 PARKER RD
FLORISSANT, MO
ZIP 63033

(314) 652-4100

MRS. ARMENE METRICE BOLDEN

Registered Nurse

(Ambulatory Care)

6854 PARKER RD
FLORISSANT, MO
ZIP 63033

(314) 652-4100

GWENDOLYN MICHELLE BOSTIC

Registered Nurse

(Ambulatory Care)

6854 PARKER RD
FLORISSANT, MO
ZIP 63033

(314) 652-4100

MRS. BARBARA ANN SHORT RN

Registered Nurse

(Ambulatory Care)

6854 PARKER RD
FLORISSANT, MO
ZIP 63033

(314) 652-4100

ANNE HORTON PT, DPT

Physical Therapist

6854 PARKER RD
FLORISSANT, MO
ZIP 63033

(314) 652-4100

MR. TODD J PETERSEN PA-C

Physician Assistant

6854 PARKER RD
FLORISSANT, MO
ZIP 63033

(314) 286-6988

KEVIN B CAGUITLA PHARMD.

Pharmacist

6854 PARKER RD
FLORISSANT, MO
ZIP 63033

(702) 513-0417

DR. MARVA MONIQUE ROBINSON PSY.D.

Psychologist

(Clinical)

6854 PARKER RD
FLORISSANT, MO
ZIP 63033

(314) 652-4100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134974645, enumerated as an "individual" on April 18, 2024.

The provider is located at 6854 PARKER RD FLORISSANT, MO 63033 and the phone number is (314) 286-6988.

Peer Specialist with taxonomy code 175T00000X.