JESSICA CLARKE CRM
NPI 1023905130
Peer Specialist in Eugene, OR

NPI Status: Active since June 20, 2025

Contact Information

71 CENTENNIAL LOOP STE A
EUGENE, OR
ZIP 97401
Phone: (541) 214-2786

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  • Individual
  • Female
  • Peer Specialist

About JESSICA CLARKE

This page provides the complete NPI Profile along with additional information for Jessica Clarke, a provider established in Eugene, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1023905130 assigned on June 2025. The practitioner's primary taxonomy code is 175T00000X with license number 25-CRM-4526 (OR). The provider is registered as an individual and her NPI record was last updated June 2025.

NPI
1023905130
Provider Name
JESSICA CLARKE CRM
Gender
Female
Entity Type
Individual
Location Address
71 CENTENNIAL LOOP STE A EUGENE, OR 97401
Location Phone
(541) 214-2786
Mailing Address
71 CENTENNIAL LOOP STE A EUGENE, OR 97401
Mailing Phone
(541) 214-2786
Is Sole Proprietor?
Yes
Enumeration Date
06-20-2025
Last Update Date
06-20-2025
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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
License No.
25-CRM-4526
License State
OR
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.
1023905130
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20431801016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 8 + 0 + 1 + 0 + 1 + 6 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1023905130 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588033583 MICHAEL HEJAZI
Individual
Counselor (Mental Health)71 CENTENNIAL LOOP STE A SHELTERCARE
EUGENE, OR 97401
(541) 505-8426
1124177225 JESSIE SEVIGNY
Individual
Counselor (Mental Health)71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 505-8426
1760861876 KAISHA GAUDERMAN
Individual
Counselor (Mental Health)71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 505-8426
1134593197 JODI MATHIS-BABBITT
Individual
Counselor (Mental Health)71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 505-8426
1003274887 ARTURO ZAMUDIO
Individual
Counselor (Mental Health)71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 505-8426
1174979033 BARBARA RUTHERFORD
Individual
Counselor (Mental Health)71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 505-8426
1902331259 CHERIE WHITE
Individual
Counselor (Mental Health)71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 505-8426
1659808855 SARAH STARK
Individual
Counselor (Mental Health)71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 505-8426
1801304555 ILEANA V SPOTSWOOD
Individual
Counselor (Mental Health)71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 505-8426
1528426335 CATHY BROWN
Individual
Counselor (Mental Health)71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 505-8426
1437650405 ANGELA R DARBY
Individual
Counselor (Mental Health)71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 505-8426
1700234259 MICHAEL SCHLIMMER
Individual
Counselor (Mental Health)71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 505-8426
1164916771 YOLANDA GOMEZ
Individual
Counselor (Mental Health)71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 505-8426
1730663816 BRETT T CLARK
Individual
Counselor (Mental Health)71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 505-8426
1366919326 EMILY E KNOTT
Individual
Counselor (Mental Health)71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 505-8426
1518106087MR. MITCHELL RAY TROTTER LCSW
Individual
Social Worker (Clinical)71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 858-8170
1609349216 JEFFREY T VAUGHAN
Individual
Counselor (Mental Health)71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 505-8426
1386108025 KIANA B WILSON
Individual
Counselor (Mental Health)71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 505-8426
1073065280COLUMBIACARE SERVICES
Organization
Clinic/Center71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 858-8170
1700444627 MARIA A COVERNALI
Individual
Counselor (Mental Health)71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
(541) 505-8426

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023905130, enumerated in the NPI registry as an "individual" on June 20, 2025

The provider is located at 71 Centennial Loop Ste A Eugene, Or 97401 and the phone number is (541) 214-2786

The provider's speciality is Peer Specialist with taxonomy code 175T00000X

This NPI record was last updated on June 20, 2025. 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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