KENETH JANTZEN
NPI 1962259630
Peer Specialist in Tulsa, OK

NPI Status: Active since May 01, 2024

Contact Information

6128 E 38TH ST
TULSA, OK
ZIP 74135
Phone: (918) 697-1536

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  • Individual
  • Male
  • Peer Specialist

About KENETH JANTZEN

This page provides the complete NPI Profile along with additional information for Keneth Jantzen, a provider established in Tulsa, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1962259630 assigned on May 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1962259630
Provider Name
KENETH JANTZEN
Gender
Male
Entity Type
Individual
Location Address
6128 E 38TH ST TULSA, OK 74135
Location Phone
(918) 697-1536
Mailing Address
6128 E 38TH ST TULSA, OK 74135
Is Sole Proprietor?
No
Enumeration Date
05-01-2024
Last Update Date
05-01-2024
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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

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.

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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.
1962259630
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122451866
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 4 + 5 + 1 + 8 + 6 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1962259630 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

MR. LUKE JOSEPH DENNEHY RN

Counselor

(Mental Health)

6128 E 38TH ST
305
TULSA, OK
ZIP 74135

(918) 706-0184

MRS. HELENE R TEAGUE-SMITH BSW

Counselor

(Mental Health)

6128 E 38TH ST
SUITE 305
TULSA, OK
ZIP 74135

(918) 599-7404

JANE ANN WOOD R.N.

Registered Nurse

6128 E 38TH ST
SUITE 305
TULSA, OK
ZIP 74135

(918) 599-7404

MS. SUSAN BURK M.S., CCC-SLP

Speech-Language Pathologist

6128 E 38TH ST
TULSA, OK
ZIP 74135

(918) 835-8691

ADRIENNE BIRCH PT

Physical Therapist

6128 E 38TH ST
SUITE 400
TULSA, OK
ZIP 74135

(918) 835-8691

SUSANNAH HAMILTON M.S., OTR/L

Occupational Therapist

6128 E 38TH ST
TULSA, OK
ZIP 74135

(918) 835-8691

CAROLINE SMEJKAL M.A. CCC-SLP

Speech-Language Pathologist

6128 E 38TH ST
TULSA, OK
ZIP 74135

(918) 835-8691

DINDY MARIE BANZET M.S., CCC-SLP

Speech-Language Pathologist

6128 E 38TH ST
SUITE 400
TULSA, OK
ZIP 74135

(918) 835-8691

MRS. JENNY BROOK LOW M.S. CCC-SLP

Speech-Language Pathologist

6128 E 38TH ST
TULSA, OK
ZIP 74135

(918) 835-8691

MRS. SARAH SMART OTR/L

Specialist

6128 E 38TH ST
TULSA, OK
ZIP 74135

(918) 835-8691

MRS. NATALIE NICOLE MOORE M.S. CCC-SLP

Speech-Language Pathologist

6128 E 38TH ST
STE. 400
TULSA, OK
ZIP 74135

(918) 835-8691

GRAND LAKE MENTAL HEALTH CENTER, INC.

Clinic/Center

(Mental Health (Including Community Mental Health Center))

6128 E 38TH ST
TULSA, OK
ZIP 74135

(918) 664-4224

DR. KHALIL M. SALIBA MD

Psychiatry & Neurology

(Child & Adolescent Psychiatry)

6128 E 38TH ST
TULSA, OK
ZIP 74135

(918) 342-0770

SHAUNDA STANLEY RN

Case Manager/Care Coordinator

6128 E 38TH ST
TULSA, OK
ZIP 74135

(918) 779-7144

GRAND LAKE MENTAL HEALTH CENTER, INC.

Community/Behavioral Health

6128 E 38TH ST
TULSA, OK
ZIP 74135

(918) 664-4224

CAYLA RAY

Case Manager/Care Coordinator

6128 E 38TH ST
TULSA, OK
ZIP 74135

(918) 664-4224

GRAND LAKE MENTAL HEALTH CENTER, INC.

Clinic/Center

(Mental Health (Including Community Mental Health Center))

6128 E 38TH ST
TULSA, OK
ZIP 74135

(918) 664-4224

KIMBERLY TRIPP

Peer Specialist

6128 E 38TH ST
TULSA, OK
ZIP 74135

(918) 664-4224

DESTINY HOPE DAVIS

Case Manager/Care Coordinator

6128 E 38TH ST
TULSA, OK
ZIP 74135

(580) 304-2674

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962259630, enumerated as an "individual" on May 01, 2024.

The provider is located at 6128 E 38TH ST TULSA, OK 74135 and the phone number is (918) 697-1536.

Peer Specialist with taxonomy code 175T00000X.