JASON ALLEN JACKSON CPSW
NPI 1134782337
Peer Specialist in Albuquerque, NM

NPI Status: Active since April 15, 2019

Contact Information

912 1ST ST NW
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 224-9777
Fax: (505) 224-9779

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  • Individual
  • Male
  • Peer Specialist

About JASON JACKSON

This page provides the complete NPI Profile along with additional information for Jason Jackson, a provider established in Albuquerque, New Mexico with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1134782337 assigned on April 2019. The practitioner's primary taxonomy code is 175T00000X with license number 816 (NM). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1134782337
Provider Name
JASON ALLEN JACKSON CPSW
Gender
Male
Entity Type
Individual
Location Address
912 1ST ST NW ALBUQUERQUE, NM 87102
Location Phone
(505) 224-9777
Location Fax
(505) 224-9779
Mailing Address
912 1ST ST NW ALBUQUERQUE, NM 87102
Mailing Phone
(505) 224-9777
Mailing Fax
(505) 224-9779
Is Sole Proprietor?
No
Enumeration Date
04-15-2019
Last Update Date
04-15-2019
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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

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
License No.
816
License State
NM
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.
1134782337
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164148436
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 4 + 8 + 4 + 3 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1134782337 is valid because the calculated check digit 7 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.

NPI Name / Type Taxonomy Address
1821353616 JAMES HERMAN WIDNER JR. LADAC, CADAC
Individual
Counselor (Addiction (Substance Use Disorder))912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 224-9777
1275888018 BOBBY LYNN LAWSON RN
Individual
Registered Nurse912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 224-9777
1134475130 LETIA LEDBETTER LPN
Individual
Licensed Practical Nurse912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 224-9777
1326447681 GLORIA JEANNE LUCERO
Individual
Counselor912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 224-9777
1386035863MRS. SHAUNDRA YVETTE DUNN MSW
Individual
Social Worker912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 224-9777
1699155747 BRITTANY BROWN KOCH LMSW
Individual
Social Worker (Clinical)912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 224-9777
1003298142 ROBERT WHITING
Individual
Counselor (Addiction (Substance Use Disorder))912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 224-9777
1073065520 KRISTIN N CARRILLO LMHC
Individual
Counselor912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 224-9777
1801333539 AGATHA LUCERO MA, LAMFT
Individual
Marriage & Family Therapist912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 224-9777
1730665274 IRWIN FOSTER CPSW
Individual
Peer Specialist912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 503-1426
1427526656 PATRICK KOCHERSPERGER CPSW
Individual
Peer Specialist912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 503-1426
1518430669 BRITTNEY HOGAN CPSW
Individual
Peer Specialist912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 224-9777
1083161319 IRENE YEVETTE SENA LMSW
Individual
Social Worker912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 224-9777
1730742941 CHRISTINA R HYNES CPSW
Individual
Peer Specialist912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 224-9777
1548890007 JAMES K ARAGON MA, LSAA
Individual
Counselor (Addiction (Substance Use Disorder))912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 224-9777
1477919967 AUBREY KOPCZYNSKI LMHC
Individual
Counselor (Mental Health)912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 224-9777
1942823125 DAWN GREEN
Individual
Peer Specialist912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 224-9777
1407456742 GABRIELA GALLEGOS CPSW
Individual
Peer Specialist912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 224-9777
1508452442 JEFFREY PETERSON
Individual
Peer Specialist912 1ST ST NW
ALBUQUERQUE, NM 87102
(505) 224-9777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134782337, enumerated in the NPI registry as an "individual" on April 15, 2019

The provider is located at 912 1st St Nw Albuquerque, Nm 87102 and the phone number is (505) 224-9777

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

This NPI record was last updated on April 15, 2019. 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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