ILLINOIS MEDICAID- SUBSTANCE ABUSE KEWANEE
NPI 1386011161
Clinic/Center - Rehabilitation, Substance Use Disorder in Kewanee, IL

NPI Status: Active since August 27, 2015

Contact Information

137 E COLLEGE ST
KEWANEE, IL
ZIP 61443
Phone: (309) 852-4331

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About ILLINOIS MEDICAID- SUBSTANCE ABUSE KEWANEE

This page provides the complete NPI Profile along with additional information for Illinois Medicaid- Substance Abuse Kewanee, a provider established in Kewanee, Illinois operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1386011161 assigned on August 2015. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Illinois Medicaid- Substance Abuse Kewanee 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 Mr. Bill A Nelson Lcpc (Ceo)

NPI
1386011161
Provider Name
ILLINOIS MEDICAID- SUBSTANCE ABUSE KEWANEE
Entity Type
Organization
Location Address
137 E COLLEGE ST KEWANEE, IL 61443
Location Phone
(309) 852-4331
Mailing Address
137 E COLLEGE ST KEWANEE, IL 61443
Mailing Phone
(309) 852-4331
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-27-2015
Last Update Date
08-19-2019
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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 State
IL

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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

A-0118-0003-A (IL)
22084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

(IL)
32084P0804XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Child & Adolescent Psychiatry

(IL)
4261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

(IL)

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

MR. BILL A NELSON LCPC

Authorized Official Title
CEO
Authorized Official Phone
(309) 344-4200

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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 1386011161, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
3
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
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 8 → 16 → 7 0 → 0 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 6 + 6 + 0 + 1 + 2 + 1 + 1 + 2 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1386011161.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Licensed Practical Nurse
137 E COLLEGE ST
KEWANEE, IL 61443
Counselor (Mental Health)
137 E COLLEGE ST
KEWANEE, IL 61443
Counselor (Professional)
137 E COLLEGE ST
KEWANEE, IL 61443
Counselor (Addiction (Substance Use Disorder))
137 E COLLEGE ST
KEWANEE, IL 61443
Counselor (Professional)
137 E COLLEGE ST
KEWANEE, IL 61443
Registered Nurse
137 E COLLEGE ST
KEWANEE, IL 61443
Counselor
137 E COLLEGE ST
KEWANEE, IL 61443
Counselor (Mental Health)
137 E COLLEGE ST
KEWANEE, IL 61443
Clinic/Center (Mental Health (Including Community Mental Health Center))
137 E COLLEGE ST
KEWANEE, IL 61443
Case Manager/Care Coordinator
137 E COLLEGE ST
KEWANEE, IL 61443

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386011161, enumerated as an "organization" on August 27, 2015.

The provider is located at 137 E COLLEGE ST KEWANEE, IL 61443 and the phone number is (309) 852-4331.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.