THERESA KEYS CRM, PWS
NPI 1508588112
Peer Specialist in Coos Bay, OR

NPI Status: Active since September 12, 2022

Contact Information

1741 NEWMARK AVE
COOS BAY, OR
ZIP 97420
Phone: (541) 622-0066

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Peer Specialist

About THERESA KEYS

This page provides the complete NPI Profile along with additional information for Theresa Keys, 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 1508588112 assigned on September 2022. The practitioner's primary taxonomy code is 175T00000X with license number 21-CRM-705 (OR). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI: 1508588112
Provider Name: THERESA KEYS CRM, PWS
Gender: Female
Entity Type: Individual
Location Address: 1741 NEWMARK AVE COOS BAY, OR 97420
Location Phone: (541) 622-0066
Mailing Address: 155 S EMPIRE BLVD COOS BAY, OR 97420
Mailing Phone: (541) 622-0066
Is Sole Proprietor?: No
Enumeration Date: 09-12-2022
Last Update Date: 09-12-2022
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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: Peer Specialist
Taxonomy Code: 175T00000X
Type: Other Service Providers
License No.: 21-CRM-705
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:

Medicare

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

Medicaid

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
THW000106053	OTHER (01)	OR	PEER SUPPORT SPECIALIST ADULT ADDICTIONS
THW000106053	OTHER (01)	OR	PEER WELLNESS SPECIALIST ADULT ADDICTIONS/ADULT MENTAL HEALTH

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	0	8	5	8	8	1	1	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	0	8	10	8	16	1	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 0 + 8 + 1 + 6 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2									2

The NPI number 1508588112 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.