JACKLYN EGAN
NPI 1093355851
Peer Specialist in Elmira, NY

NPI Status: Active since January 09, 2020

Contact Information

1149 SULLIVAN ST STE B
ELMIRA, NY
ZIP 14901
Phone: (607) 733-7661

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  • Individual
  • Female
  • Peer Specialist

About JACKLYN EGAN

This page provides the complete NPI Profile along with additional information for Jacklyn Egan, a provider established in Elmira, New York with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1093355851 assigned on January 2020. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1093355851
Provider Name
JACKLYN EGAN
Gender
Female
Entity Type
Individual
Location Address
1149 SULLIVAN ST STE B ELMIRA, NY 14901
Location Phone
(607) 733-7661
Mailing Address
1149 SULLIVAN ST STE B ELMIRA, NY 14901
Is Sole Proprietor?
No
Enumeration Date
01-09-2020
Last Update Date
01-09-2020
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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.
1093355851
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201836510810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 6 + 5 + 1 + 0 + 8 + 1 + 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 = 11

The NPI number 1093355851 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 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215587753 MICHELLE WRIGHT
Individual
Counselor1149 SULLIVAN ST STE B
ELMIRA, NY 14901
(607) 733-7661
1902445273MR. LARRY D. BARTLETT JR. PEER SPECALIST
Individual
Peer Specialist1149 SULLIVAN ST STE B
ELMIRA, NY 14901
(607) 733-7661
1902446032 JEAN A ROBBINS
Individual
Registered Nurse1149 SULLIVAN ST STE B
ELMIRA, NY 14901
(607) 733-7661
1982217659 MATTHEW ALEXANDER PITCHER MSW
Individual
Social Worker1149 SULLIVAN ST STE B
ELMIRA, NY 14901
(607) 733-7661
1639785033 TRACY MICKELSON CASAC
Individual
Counselor (Addiction (Substance Use Disorder))1149 SULLIVAN ST STE B
ELMIRA, NY 14901
(607) 733-7661
1881267839MRS. HEATHER ANNE CRUZ
Individual
Rehabilitation Counselor1149 SULLIVAN ST STE B
ELMIRA, NY 14901
(607) 329-1036
1265154942 MICHAEL LEHMANN II
Individual
Counselor (Mental Health)1149 SULLIVAN ST STE B
ELMIRA, NY 14901
(607) 733-7661

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093355851, enumerated in the NPI registry as an "individual" on January 09, 2020

The provider is located at 1149 Sullivan St Ste B Elmira, Ny 14901 and the phone number is (607) 733-7661

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

This NPI record was last updated on January 09, 2020. 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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