KELLY MARIE CLARK AAC
NPI 1477897916
Peer Specialist in Everett, WA
NPI Status: Active since November 22, 2012
Contact Information
811 MADISON ST
EVERETT, WA
ZIP 98203
Phone: (425) 212-4200
Fax: (425) 212-4201
- Individual
- Female
- Peer Specialist
About KELLY CLARK
This page provides the complete NPI Profile along with additional information for Kelly Clark, a provider established in Everett, Washington with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1477897916 assigned on November 2012. The practitioner's primary taxonomy code is 175T00000X with license number 1477897916 (WA). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1477897916
- Provider Name
- KELLY MARIE CLARK AAC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 811 MADISON ST EVERETT, WA 98203
- Location Phone
- (425) 212-4200
- Location Fax
- (425) 212-4201
- Mailing Address
- 1100 S 2ND ST MOUNT VERNON, WA 98273
- Mailing Phone
- (360) 419-3500
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-22-2012
- Last Update Date
- 03-17-2018
- Code Navigator
Location Map
Secondary Locations
- 1100 S 2nd St
Mount Vernon, WA 98273
(360) 419-3500
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.
- 1477897916
- License State
- WA
- 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 1477897916, 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 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 74 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.
EVERETT, WA 98203
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477897916, enumerated as an "individual" on November 22, 2012.
The provider is located at 811 MADISON ST EVERETT, WA 98203 and the phone number is (425) 212-4200.
Peer Specialist with taxonomy code 175T00000X.
