JUSTIN S KROLL
NPI 1609410596
Prevention Professional in Port Huron, MI

NPI Status: Active since November 04, 2019

Contact Information

1902 13TH ST
PORT HURON, MI
ZIP 48060
Phone: (810) 300-8536

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  • Individual
  • Male
  • Prevention Professional

About JUSTIN KROLL

This page provides the complete NPI Profile along with additional information for Justin Kroll, a provider established in Port Huron, Michigan with a medical specialization in Prevention Professional. The healthcare provider is registered in the NPI registry with number 1609410596 assigned on November 2019. The practitioner's primary taxonomy code is 405300000X with license number 1863 (CT). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1609410596
Provider Name
JUSTIN S KROLL
Gender
Male
Entity Type
Individual
Location Address
1902 13TH ST PORT HURON, MI 48060
Location Phone
(810) 300-8536
Mailing Address
1902 13TH ST PORT HURON, MI 48060
Mailing Phone
(810) 300-8536
Is Sole Proprietor?
Yes
Enumeration Date
11-04-2019
Last Update Date
12-10-2020
Code Navigator

Location Map

Secondary Locations

  • 735 Wall St
    Port Huron, MI 48060
    (810) 300-8536
  • 904 Tunnel St
    Port Huron, MI 48060
    (810) 300-8536
  • 1220 Lapeer Ave
    Port Huron, MI 48060
    (810) 300-8536
  • 1319 Griswold St
    Port Huron, MI 48060
    (810) 300-8536
  • 733 Wall St
    Port Huron, MI 48060
    (810) 300-8536
  • 1033 Wall St
    Port Huron, MI 48060
    (810) 300-8536
  • 1036 Wall St
    Port Huron, MI 48060
    (810) 300-8536
  • 1234 Minnie St
    Port Huron, MI 48060
    (810) 300-8536
  • 924 Wall St
    Port Huron, MI 48060
    (810) 300-8536

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

Prevention Professional

Taxonomy Code
405300000X
Type
Other Service Providers
License No.
1863
License State
CT
Taxonomy Description
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Insurance Plans Accepted

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

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

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
1863MEDICAID (05)CT 
0000000OTHER (01)DO NOT HAVE

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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 1609410596, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 0 + 9 + 8 + 1 + 0 + 5 + 1 + 8 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1609410596.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609410596, enumerated as an "individual" on November 04, 2019.

The provider is located at 1902 13TH ST PORT HURON, MI 48060 and the phone number is (810) 300-8536.

Prevention Professional with taxonomy code 405300000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.