CEDAR RECOVERY OTP, LLC
NPI 1598576019
Clinic/Center - Methadone in Knoxville, TN

NPI Status: Active since January 15, 2025

Contact Information

4409 CHAPMAN HWY STE W
KNOXVILLE, TN
ZIP 37920
Phone: (615) 553-1322
Fax: (615) 549-7044

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  • Organization
  • Clinic/Center
  • Methadone
  • CLIA Number: 44D2270626
  • CLIA Cert. Type: Other - OFFICE BASED OPIOID TREAT
  • CLIA Exp. Date: 10-17-2026

About CEDAR RECOVERY OTP, LLC

This page provides the complete NPI Profile along with additional information for Cedar Recovery Otp, Llc, a provider established in Knoxville, Tennessee operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1598576019 assigned on January 2025. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Paul Stephen Trivette (Chief Strategy Officer)

NPI
1598576019
Provider Name
CEDAR RECOVERY OTP, LLC
Entity Type
Organization
Location Address
4409 CHAPMAN HWY STE W KNOXVILLE, TN 37920
Location Phone
(615) 553-1322
Location Fax
(615) 549-7044
Mailing Address
5000 CROSSINGS CIR STE 103 MOUNT JULIET, TN 37122
Mailing Phone
(615) 553-1322
Mailing Fax
(615) 549-7044
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-15-2025
Last Update Date
01-15-2025
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Location Map

Secondary Locations

  • 1805 Burgess Falls Rd
    Cookeville, TN 38506
    (615) 553-1322
  • 170 Blevins Blvd Ste 2
    Bristol, VA 24202
    (276) 285-3911

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

Clinic/Center Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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

PAUL STEPHEN TRIVETTE

Authorized Official Title
CHIEF STRATEGY OFFICER
Authorized Official Phone
(423) 914-1518

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2270626
Facility Type
Other - OFFICE BASED OPIOID TREAT
Certificate Effective Date
October 18, 2024
Certificate Expiration Date
October 17, 2026
Laboratory Director
JORDAN HANSEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cedar Recovery Otp, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1598576019, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
9
Doubled → 18 → 1 + 8
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
9
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 9 → 18 → 9 5 → 10 → 1 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 8 + 8 + 1 + 0 + 7 + 1 + 2 + 0 + 2 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1598576019.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Registered Nurse
4409 CHAPMAN HWY STE W
KNOXVILLE, TN 37920

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598576019, enumerated as an "organization" on January 15, 2025.

The provider is located at 4409 CHAPMAN HWY STE W KNOXVILLE, TN 37920 and the phone number is (615) 553-1322.

Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.