MR. ANTHONY L WILSON CRM
NPI 1396201216
Peer Specialist in Coos Bay, OR
NPI Status: Active since February 15, 2019
Contact Information
155 S EMPIRE BLVD
COOS BAY, OR
ZIP 97420
Phone: (541) 256-4686
- Individual
- Male
- Peer Specialist
About ANTHONY WILSON
This page provides the complete NPI Profile along with additional information for Anthony Wilson, a provider established in Coos Bay, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1396201216 assigned on February 2019. The practitioner's primary taxonomy code is 175T00000X with license number 19-CRM-044 (OR). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1396201216
- Provider Name
- MR. ANTHONY L WILSON CRM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 155 S EMPIRE BLVD COOS BAY, OR 97420
- Location Phone
- (541) 256-4686
- Mailing Address
- 1942 SHERIDAN AVE NORTH BEND, OR 97459
- Mailing Phone
- (541) 256-4686
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-15-2019
- Last Update Date
- 01-31-2020
- Code Navigator
Location Map
Secondary Locations
- 125 SW C St
Madras, OR 97741
(541) 306-4566 - 1435 NE 4th St Ste B
Bend, OR 97701
(541) 306-4446
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.
- 19-CRM-044
- License State
- OR
- 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.
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.
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 |
|---|---|---|---|
| 19-CRM-044 | OTHER (01) | OR | MHACBO |
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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 1396201216, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
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 54 is 60. 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.
COOS BAY, OR 97420
COOS BAY, OR 97420
COOS BAY, OR 97420
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396201216, enumerated as an "individual" on February 15, 2019.
The provider is located at 155 S EMPIRE BLVD COOS BAY, OR 97420 and the phone number is (541) 256-4686.
Peer Specialist with taxonomy code 175T00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
