SUSAN K WALLACE IV NPI 1679778914
Counselor - Mental Health in Bend, OR
About SUSAN K WALLACE IV
Susan Wallace is a provider established in Bend, Oregon and her medical specialization is Counselor with a focus in mental health . The NPI number of this provider is 1679778914 and was assigned on June 2007. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 16 years ago.
| NPI | 1679778914 |
| Provider Name | SUSAN K WALLACE IV |
| Location Address | 63360 NW BRITTA ST STE 1 BEND, OR 97701 |
| Location Phone | (541) 318-4845 |
| Mailing Address | 21865 BEAR CREEK RD BEND, OR 97701 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 06-18-2007 |
| Last Update Date | 07-20-2007 |
A mental health counselor like Susan Wallace 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..
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 101YM0800X |
| Classification | Counselor |
| Type | Behavioral Health & Social Service Providers |
| Specialization | Mental Health |
Business Address
63360 NW BRITTA ST STE 1
BEND, OR
ZIP 97701
Phone: (541) 318-4845
Mailing Address
21865 BEAR CREEK RD
BEND, OR
ZIP 97701
Phone: (541) 318-8082
Location Map
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 7 | 9 | 7 | 7 | 8 | 9 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 14 | 7 | 16 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 1 + 4 + 7 + 1 + 6 + 9 + 2 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1679778914 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174665921 | MR. MONTY JAY FETCH MA COUNSELING PSYCH Individual | Counselor (Mental Health) | 63360 NW BRITTA ST STE 1 BEND, OR 97701 (541) 318-4845 |
| 1497871248 | MS. CHAVONNE SUZANNE PRYOR RN Individual | Registered Nurse (Community Health) | 63360 NW BRITTA ST STE 1 BEND, OR 97701 (541) 617-3328 |
| 1417168261 | MRS. KATHERINE EMMA TILLER I R.N. Individual | Registered Nurse (Psychiatric/Mental Health, Child & Adolescent) | 63360 NW BRITTA ST STE 1 BEND, OR 97701 (541) 318-4845 |
| 1346445251 | SHILOH B ERVEN Individual | Counselor | 63360 NW BRITTA ST STE 1 BEND, OR 97701 (541) 318-4845 |
| 1003011883 | MR. JOSHUA SETH WILSON Individual | Counselor (Mental Health) | 63360 NW BRITTA ST STE 1 BEND, OR 97701 (541) 318-4845 |
| 1427253293 | MR. TYLER M LUNDY BA Individual | Counselor (Mental Health) | 63360 NW BRITTA ST STE 1 BEND, OR 97701 (541) 318-4845 |
| 1740486901 | MS. TERA MCKENZIE ANDERSON B.A. Individual | Case Manager/Care Coordinator | 63360 NW BRITTA ST STE 1 BEND, OR 97701 (541) 598-5607 |
| 1669679304 | MS. EMILY ELIZABETH TUCKER M.A. Individual | Counselor (Mental Health) | 63360 NW BRITTA ST STE 1 BEND, OR 97701 (541) 318-4845 |
| 1861699449 | MRS. JANET LYNNE JACOBS Individual | Specialist/Technologist, Health Information | 63360 NW BRITTA ST STE 1 BEND, OR 97701 (541) 318-4845 |
| 1003014929 | MISS KRISTINE MARIE EVANS A.A. Individual | Case Manager/Care Coordinator | 63360 NW BRITTA ST STE 1 BEND, OR 97701 (541) 318-4845 |
Frequently Asked Questions
What is Susan Wallace IV NPI number?
The NPI number assigned to this healthcare provider is 1679778914, registered as an "individual" on June 18, 2007
Where is Susan Wallace IV located?
The provider is located at 63360 Nw Britta St Ste 1 Bend, Or 97701 and the phone number is (541) 318-4845
Which is Susan Wallace IV specialty?
The provider's speciality is Counselor with a focus in Mental Health
How do I update my NPI information?
The NPI record of Susan Wallace IV was last updated on June 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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