KENNETH L. SHIELDS LMHC
NPI 1548267743
Counselor - Mental Health in Fort Wayne, IN

NPI Status: Active since July 01, 2005

Contact Information

11104 PARKVIEW CIRCLE DR
STE 110
FORT WAYNE, IN
ZIP 46845
Phone: (260) 460-3203
Fax: (260) 460-3130

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  • Individual
  • Male
  • Counselor
  • Mental Health

About KENNETH SHIELDS

This page provides the complete NPI Profile along with additional information for Kenneth Shields, a provider established in Fort Wayne, Indiana with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1548267743 assigned on July 2005. The practitioner's primary taxonomy code is 101YM0800X with license number 39001242A (IN). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1548267743
Provider Name
KENNETH L. SHIELDS LMHC
Gender
Male
Entity Type
Individual
Location Address
11104 PARKVIEW CIRCLE DR STE 110 FORT WAYNE, IN 46845
Location Phone
(260) 460-3203
Location Fax
(260) 460-3130
Mailing Address
11104 PARKVIEW CIRCLE DR STE 110 FORT WAYNE, IN 46845
Mailing Phone
(260) 460-3203
Mailing Fax
(260) 460-3130
Is Sole Proprietor?
No
Enumeration Date
07-01-2005
Last Update Date
12-26-2012
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A mental health counselor like Kenneth Shields provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
39001242A
License State
IN

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)

87001425A (IN)

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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 1548267743, we treat the final digit (3) 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

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
5
Unchanged
Pos 3
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
Check
3
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 4 → 8 2 → 4 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 8 + 8 + 4 + 6 + 1 + 4 + 7 + 8 + 24 = 77

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

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1548267743.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist (Clinical)
11104 PARKVIEW CIRCLE DR, STE 110
FORT WAYNE, IN 46845
Psychologist (Clinical)
11104 PARKVIEW CIRCLE DR, STE 110
FORT WAYNE, IN 46845
Nurse Practitioner (Family)
11104 PARKVIEW CIRCLE DR, STE 110
FORT WAYNE, IN 46845
Dietitian, Registered (Nutrition, Renal)
11104 PARKVIEW CIRCLE DR, SUITE 330
FORT WAYNE, IN 46845
Pharmacist
11104 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Non-Pharmacy Dispensing Site
11104 PARKVIEW CIRCLE DR, SUITE 110
FORT WAYNE, IN 46845
Internal Medicine (Gastroenterology)
11104 PARKVIEW CIRCLE DR, SUITE 310
FORT WAYNE, IN 46845
Physical Therapist
11104 PARKVIEW CIRCLE DR, SUITE 050
FORT WAYNE, IN 46845
Clinical Neuropsychologist
11104 PARKVIEW CIRCLE DR, STE 110
FORT WAYNE, IN 46845
Registered Nurse
11104 PARKVIEW CIRCLE DR, STE. 310
FORT WAYNE, IN 46845
Nurse Practitioner
11104 PARKVIEW CIRCLE DR, S-330
FORT WAYNE, IN 46845
Internal Medicine (Nephrology)
11104 PARKVIEW CIRCLE DR, S-330
FORT WAYNE, IN 46845
Nurse Practitioner (Family)
11104 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Nurse Practitioner
11104 PARKVIEW CIRCLE DR, STE 110
FORT WAYNE, IN 46845
Internal Medicine (Nephrology)
11104 PARKVIEW CIRCLE DR, ENTRANCE 11, SUITE 330
FORT WAYNE, IN 46845
Nurse Practitioner
11104 PARKVIEW CIRCLE DR, SUITE 310
FORT WAYNE, IN 46845
Internal Medicine (Gastroenterology)
11104 PARKVIEW CIRCLE DR, SUITE 310
FORT WAYNE, IN 46845
Internal Medicine (Pulmonary Disease)
11104 PARKVIEW CIRCLE DR, SUITE 410
FORT WAYNE, IN 46845
Internal Medicine (Gastroenterology)
11104 PARKVIEW CIRCLE DR, SUITE 310
FORT WAYNE, IN 46845
Nurse Practitioner
11104 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548267743, enumerated as an "individual" on July 01, 2005.

The provider is located at 11104 PARKVIEW CIRCLE DR STE 110 FORT WAYNE, IN 46845 and the phone number is (260) 460-3203.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.