KAREN LOLITA CLAYTON
NPI 1548874530
Peer Specialist in Bismarck, ND
NPI Status: Active since September 07, 2020
Contact Information
136 NORTHWEST DR
BISMARCK, ND
ZIP 58504
Phone: (701) 425-9737
- Individual
- Female
- Peer Specialist
- Accepts Insurance
About KAREN CLAYTON
This page provides the complete NPI Profile along with additional information for Karen Clayton, a provider established in Bismarck, North Dakota with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1548874530 assigned on September 2020. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1548874530
- Provider Name
- KAREN LOLITA CLAYTON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 136 NORTHWEST DR BISMARCK, ND 58504
- Location Phone
- (701) 425-9737
- Mailing Address
- 136 NORTHWEST DR BISMARCK, ND 58504
- Mailing Phone
- (701) 425-9737
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-07-2020
- Last Update Date
- 09-07-2020
- Code Navigator
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
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- 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:
- BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Gold $10 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $20 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible - PPO
- BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 1548874530, 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 80. The final step is to find the difference between that total and the next multiple of ten (80 - 80 = 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.
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 80 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548874530, enumerated as an "individual" on September 07, 2020.
The provider is located at 136 NORTHWEST DR BISMARCK, ND 58504 and the phone number is (701) 425-9737.
Peer Specialist with taxonomy code 175T00000X.
The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota. Please consult your insurance carrier or call the provider to verify.
