SHANNON DWAYNE KRETZ AA, CDPT
NPI 1861977936
Counselor in Kelso, WA
NPI Status: Active since September 25, 2018
Contact Information
309 OAK ST
KELSO, WA
ZIP 98626
Phone: (360) 423-0203
Fax: (360) 577-7904
- Individual
- Male
- Counselor
- Accepts Insurance
About SHANNON KRETZ
This page provides the complete NPI Profile along with additional information for Shannon Kretz, a provider established in Kelso, Washington with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1861977936 assigned on September 2018. The practitioner's primary taxonomy code is 101Y00000X with license number 60871961 (WA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1861977936
- Provider Name
- SHANNON DWAYNE KRETZ AA, CDPT
- Other Name
- SHANNON DWAYNE BENJAMIN
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 309 OAK ST KELSO, WA 98626
- Location Phone
- (360) 423-0203
- Location Fax
- (360) 577-7904
- Mailing Address
- 921 14TH AVENUE LONGVIEW, WA 98632
- Mailing Phone
- (360) 423-0203
- Mailing Fax
- (360) 577-7904
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-25-2018
- Last Update Date
- 02-05-2019
- 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
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 60871961
- License State
- WA
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- KP OR Bronze 6000 - EPO
- KP OR Bronze HSA 7100 - EPO
- KP OR Gold 0 - EPO
- KP OR Gold 1750 - EPO
- KP OR Silver 3000 - EPO
- KP OR Silver 4000 - EPO
- KP Oregon Standard Bronze Plan - EPO
- KP Oregon Standard Gold Plan - EPO
- KP Oregon Standard Silver Plan - EPO
- KP OR Family Dental - $100 Ded - EPO
- KP OR Family Dental - $1000 - EPO
- KP OR Family Dental - $1000/$50 Ded - EPO
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 |
|---|---|---|---|
| 2108137 | MEDICAID (05) | WA |
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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 1861977936, 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 74 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861977936, enumerated as an "individual" on September 25, 2018.
The provider is located at 309 OAK ST KELSO, WA 98626 and the phone number is (360) 423-0203.
Counselor with taxonomy code 101Y00000X.
The provider might be accepting Accepts: Kaiser Permanente, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
