KLLALLAM COUSELING SERVICES
NPI 1396012530
Clinic/Center - Rehabilitation, Substance Use Disorder in Port Angeles, WA

NPI Status: Active since November 16, 2011

Contact Information

1026 EAST FRONT ST.
#2
PORT ANGELES, WA
ZIP 98362
Phone: (360) 452-4432
Fax: (360) 452-4599

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

About KLLALLAM COUSELING SERVICES

This page provides the complete NPI Profile along with additional information for Kllallam Couseling Services, a provider established in Port Angeles, Washington operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1396012530 assigned on November 2011. The practitioner's primary taxonomy code is 261QR0405X with license number CP00004528 (WA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Kevin D Collins Cb00017145 (Administrator)

NPI
1396012530
Provider Name
KLLALLAM COUSELING SERVICES
Entity Type
Organization
Location Address
1026 EAST FRONT ST. #2 PORT ANGELES, WA 98362
Location Phone
(360) 452-4432
Location Fax
(360) 452-4599
Mailing Address
73 NISBET RD SEQU SEQUIM, WA 98382
Mailing Phone
(360) 681-8092
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-16-2011
Last Update Date
11-16-2011
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License No.
CP00004528
License State
WA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. KEVIN D COLLINS CB00017145

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(360) 452-4432

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CP00004528MEDICAID (05)WA 

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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 1396012530, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
0
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 9 → 18 → 9 0 → 0 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 8 + 6 + 0 + 1 + 4 + 5 + 6 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1396012530.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396012530, enumerated as an "organization" on November 16, 2011.

The provider is located at 1026 EAST FRONT ST. #2 PORT ANGELES, WA 98362 and the phone number is (360) 452-4432.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.