GEORGE I. HANNIBAL
NPI 1578847737
Community/Behavioral Health in Portland, OR

NPI Status: Active since October 06, 2011

Contact Information

1419 NE 69TH AVE
PORTLAND, OR
ZIP 97213
Phone: (503) 254-1545
Fax: (503) 525-2846

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance

About GEORGE I. HANNIBAL

This page provides the complete NPI Profile along with additional information for George I. Hannibal, a provider established in Portland, Oregon operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1578847737 assigned on October 2011. The practitioner's primary taxonomy code is 251S00000X with license number L525 (OR). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is George Ivar. Hannibal Lcsw (Owner/operator)

NPI
1578847737
Provider Name
GEORGE I. HANNIBAL
Entity Type
Organization
Location Address
1419 NE 69TH AVE PORTLAND, OR 97213
Location Phone
(503) 254-1545
Location Fax
(503) 525-2846
Mailing Address
1419 NE 69TH AVE PORTLAND, OR 97213
Mailing Phone
(503) 254-1545
Mailing Fax
(503) 525-2846
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-06-2011
Last Update Date
10-06-2011
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
L525
License State
OR
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GEORGE IVAR. HANNIBAL LCSW

Authorized Official Title
OWNER/OPERATOR
Authorized Official Phone
(503) 254-1545

Reviews for GEORGE I. HANNIBAL

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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 1578847737, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
7
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 7 → 14 → 5 8 → 16 → 7 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 4 + 8 + 1 + 6 + 4 + 1 + 4 + 7 + 6 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1578847737.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Massage Therapist
1419 NE 69TH AVE
PORTLAND, OR 97213
Counselor (Addiction (Substance Use Disorder))
1419 NE 69TH AVE
PORTLAND, OR 97213
Counselor (Addiction (Substance Use Disorder))
1419 NE 69TH AVE
PORTLAND, OR 97213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578847737, enumerated as an "organization" on October 06, 2011.

The provider is located at 1419 NE 69TH AVE PORTLAND, OR 97213 and the phone number is (503) 254-1545.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.