KACIA CLARK
NPI 1760922801
Peer Specialist in University Place, WA
NPI Status: Active since March 07, 2017
Contact Information
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
Phone: (253) 830-6242
- Individual
- Female
- Peer Specialist
About KACIA CLARK
This page provides the complete NPI Profile along with additional information for Kacia Clark, a provider established in University Place, Washington with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1760922801 assigned on March 2017. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1760922801
- Provider Name
- KACIA CLARK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7610 40TH ST W STE 300 UNIVERSITY PLACE, WA 98466
- Location Phone
- (253) 830-6242
- Mailing Address
- 7610 40TH ST W STE 300 UNIVERSITY PLACE, WA 98466
- Mailing Phone
- (253) 830-6242
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-07-2017
- Last Update Date
- 12-07-2018
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor |
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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 | 7 | 6 | 0 | 9 | 2 | 2 | 8 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 18 | 2 | 4 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 8 + 2 + 4 + 8 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1760922801 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
SKYLAR LYNN FOLEY
Peer Specialist
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
MS. BRITTNEY JEAN ROBERTO
Peer Specialist
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
SAHARA CHANDLER
Peer Specialist
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
DONISE ROSE
Counselor
(Mental Health)
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
GAYLA BACON
Case Manager/Care Coordinator
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
MYRTA SUE BOWEN
Peer Specialist
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
ZOEY DAMM
Case Manager/Care Coordinator
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
MALLORY MARIE HEATH
Peer Specialist
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
JULIE MARIE CUNNINGHAM
Peer Specialist
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
TABITHA LAMPHERE CPC
Peer Specialist
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
CAROL JO SEWARD
Peer Specialist
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
JANESSA CUMMINGS
Counselor
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
SAM JACOB WATTERSON HUNT BASW, BCJ
Case Manager/Care Coordinator
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
CONNER BUDRICK
Case Manager/Care Coordinator
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
MRS. MICHELLE MARIE CROWELL MSW, LICSWA
Counselor
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
WAHAB KROMAH
Counselor
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
ASHLEY BOND
Peer Specialist
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
KIVA DORVIL
Peer Specialist
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
SHANE HAMPTON
Case Manager/Care Coordinator
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
GRACE LUND
Case Manager/Care Coordinator
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA
ZIP 98466
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760922801, enumerated as an "individual" on March 07, 2017.
The provider is located at 7610 40TH ST W STE 300 UNIVERSITY PLACE, WA 98466 and the phone number is (253) 830-6242.
Peer Specialist with taxonomy code 175T00000X.
