BREANNA MARLENE PACHECO CMPSS
NPI 1114747771
Peer Specialist in San Jacinto, CA

NPI Status: Active since October 16, 2024

Contact Information

2220 GIRARD ST
SAN JACINTO, CA
ZIP 92583
Phone: (951) 683-6596

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  • Individual
  • Female
  • Peer Specialist

About BREANNA PACHECO

This page provides the complete NPI Profile along with additional information for Breanna Pacheco, a provider established in San Jacinto, California with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1114747771 assigned on October 2024. The practitioner's primary taxonomy code is 175T00000X with license number MPSS-SGREPF (CA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1114747771
Provider Name
BREANNA MARLENE PACHECO CMPSS
Gender
Female
Entity Type
Individual
Location Address
2220 GIRARD ST SAN JACINTO, CA 92583
Location Phone
(951) 683-6596
Mailing Address
25331 CHICAGO AVE HEMET, CA 92544
Mailing Phone
(951) 400-8042
Is Sole Proprietor?
No
Enumeration Date
10-16-2024
Last Update Date
10-16-2024
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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
License No.
MPSS-SGREPF
License State
CA
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.
1114747771
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212414414714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 4 + 4 + 1 + 4 + 7 + 1 + 4 + 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 1114747771 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336327352MRS. THERESA ELIZABETH BULLARD C A S II
Individual
Counselor (Addiction (Substance Use Disorder))2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 925-8450
1457623746 MARGARET J. MARTINEZ
Individual
Counselor2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 929-6474
1154727139 JENNIFER LYNN BIGNEY
Individual
Counselor (Addiction (Substance Use Disorder))2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 925-8450
1457898579 BETH DEEON SUTCH INTERN
Individual
Counselor (Addiction (Substance Use Disorder))2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 925-8450
1306383385MS. ANNA MARIE FRAZER
Individual
Counselor (Addiction (Substance Use Disorder))2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 925-8450
1013041771 LINDA DARDEN C.A.S.
Individual
Counselor (Addiction (Substance Use Disorder))2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 925-8450
1912446824 CHRISTINA DIAZ
Individual
Counselor (Addiction (Substance Use Disorder))2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 683-6596
1982034732MRS. JULI ANNE KUKULKA CAS II
Individual
Counselor (Addiction (Substance Use Disorder))2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 925-8450
1083101034 LUPE LIVIER PEREZ
Individual
Counselor (Addiction (Substance Use Disorder))2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 925-8450
1578043105 DIANA H TRUJILLO
Individual
Licensed Vocational Nurse2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 925-8450
1245794510 MELISSA ANN MILLER
Individual
Licensed Vocational Nurse2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 925-8450
1811451099 KYLIE APOSTLE RADT
Individual
Counselor (Addiction (Substance Use Disorder))2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 925-8450
1407313364 ELIZABETH LENA THOMAS
Individual
Counselor (Addiction (Substance Use Disorder))2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 925-8450
1669933198 KATHERINE NICOLE SAN ROMAN LVN
Individual
Licensed Practical Nurse2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 683-6596
1831747617 KRISTINA THERESA VOIGHT
Individual
Counselor (Addiction (Substance Use Disorder))2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 925-8450
1912592320 ASHLEE ELIZABETH HOOK
Individual
Counselor (Addiction (Substance Use Disorder))2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 925-8450
1760788756 JODI WELLS CADC-II
Individual
Counselor (Addiction (Substance Use Disorder))2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 925-8450
1215612247 LISA MARIE ALANIZ
Individual
Counselor (Addiction (Substance Use Disorder))2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 925-8450
1457728743MS. SUZAN K SERRANO CATC, CCDS
Individual
Counselor (Addiction (Substance Use Disorder))2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 683-6596
1801573373 MINCIE MICHELLE SANDOVAL
Individual
Peer Specialist2220 GIRARD ST
SAN JACINTO, CA 92583
(951) 683-6596

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114747771, enumerated in the NPI registry as an "individual" on October 16, 2024

The provider is located at 2220 Girard St San Jacinto, Ca 92583 and the phone number is (951) 683-6596

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

This NPI record was last updated on October 16, 2024. 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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