KEITH R CLARK LPCC
NPI 1902201809
Counselor - Professional in Dayton, OH

NPI Status: Active since November 04, 2014

Contact Information

601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH
ZIP 45417
Phone: (937) 734-8333
Fax: (937) 276-8269

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  • Individual
  • Male
  • Counselor
  • Professional

About KEITH CLARK

This page provides the complete NPI Profile along with additional information for Keith Clark, a provider established in Dayton, Ohio with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1902201809 assigned on November 2014. The practitioner's primary taxonomy code is 101YP2500X with license number E.1901518 (OH). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1902201809
Provider Name
KEITH R CLARK LPCC
Gender
Male
Entity Type
Individual
Location Address
601 SOUTH EDWIN C MOSES BLVD DAYTON, OH 45417
Location Phone
(937) 734-8333
Location Fax
(937) 276-8269
Mailing Address
601 SOUTH EDWIN C MOSES BLVD DAYTON, OH 45417
Mailing Phone
(937) 734-8333
Mailing Fax
(937) 276-8269
Is Sole Proprietor?
No
Enumeration Date
11-04-2014
Last Update Date
12-11-2019
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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 Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
E.1901518
License State
OH

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)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

C1300707TRNE (OH)

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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 1902201809, 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
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 0 → 0 2 → 4 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 4 + 0 + 2 + 8 + 0 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1902201809.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Licensed Practical Nurse
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Case Manager/Care Coordinator
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Social Worker
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Counselor (Mental Health)
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Counselor (Mental Health)
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Social Worker
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Case Manager/Care Coordinator
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Counselor
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Counselor (Mental Health)
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Social Worker
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Psychiatry & Neurology (Psychiatry)
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Psychiatry & Neurology (Psychiatry)
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Counselor (Addiction (Substance Use Disorder))
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Counselor (Mental Health)
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Case Manager/Care Coordinator
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Counselor (Mental Health)
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Counselor (Mental Health)
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Registered Nurse (Addiction (Substance Use Disorder))
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Social Worker
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902201809, enumerated as an "individual" on November 04, 2014.

The provider is located at 601 SOUTH EDWIN C MOSES BLVD DAYTON, OH 45417 and the phone number is (937) 734-8333.

Counselor with taxonomy code 101YP2500X and a focus in Professional.