KRISTINA LOUISE DERKSEN PEER SUPPORT
NPI 1376932897
Peer Specialist in Bend, OR
NPI Status: Active since January 21, 2015
Contact Information
2577 NE COURTNEY DR
BEND, OR
ZIP 97701
Phone: (541) 322-7500
Fax: (541) 322-7565
- Individual
- Female
- Peer Specialist
About KRISTINA DERKSEN
This page provides the complete NPI Profile along with additional information for Kristina Derksen, a provider established in Bend, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1376932897 assigned on January 2015. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1376932897
- Provider Name
- KRISTINA LOUISE DERKSEN PEER SUPPORT
- Other Name
- KRISTINA LOUISE SAMARA
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2577 NE COURTNEY DR BEND, OR 97701
- Location Phone
- (541) 322-7500
- Location Fax
- (541) 322-7565
- Mailing Address
- 2577 NE COURTNEY DR BEND, OR 97701
- Mailing Phone
- (541) 322-7500
- Mailing Fax
- (541) 322-7565
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-21-2015
- Last Update Date
- 12-11-2020
- Code Navigator
Location Map
Secondary Locations
- 4422 NE Devils Lake Blvd Ste 2
Lincoln City, OR 97367
(541) 265-4196
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.
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 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor |
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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 1376932897, 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 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 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BEND, OR 97701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376932897, enumerated as an "individual" on January 21, 2015.
The provider is located at 2577 NE COURTNEY DR BEND, OR 97701 and the phone number is (541) 322-7500.
Peer Specialist with taxonomy code 175T00000X.
