JEANNIE LONG
NPI 1164904710
Peer Specialist in Waynoka, OK

NPI Status: Active since August 30, 2018

Contact Information

1095 NICKERSON ST
WAYNOKA, OK
ZIP 73860
Phone: (580) 824-0674

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  • Individual
  • Female
  • Peer Specialist

About JEANNIE LONG

This page provides the complete NPI Profile along with additional information for Jeannie Long, a provider established in Waynoka, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1164904710 assigned on August 2018. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1164904710
Provider Name
JEANNIE LONG
Gender
Female
Entity Type
Individual
Location Address
1095 NICKERSON ST WAYNOKA, OK 73860
Location Phone
(580) 824-0674
Mailing Address
PO BOX 135 WAYNOKA, OK 73860
Mailing Phone
(580) 824-0676
Is Sole Proprietor?
Yes
Enumeration Date
08-30-2018
Last Update Date
08-30-2018
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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.
1164904710
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124180872
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 8 + 0 + 8 + 7 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1164904710 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
1780718478MRS. LOIS ARLETA SMITH
Individual
Case Manager/Care Coordinator1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 824-0674
1841324530MRS. DIANA LYNN BURROWS
Individual
Case Manager/Care Coordinator1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 824-0674
1578697314MRS. ASHLEY NICOLE FERGUSON BS IN SOCIAL WORK
Individual
Counselor (Addiction (Substance Use Disorder))1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 824-0674
1801019146MRS. BETHANY S STOUT LADC
Individual
Counselor (Addiction (Substance Use Disorder))1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 824-0674
1386929370MISS PATTI JO VAZQUEZ LCSWUNDER SUPERVISI
Individual
Social Worker (Clinical)1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 334-9924
1649527607MRS. LINDA IALENE MOUSER
Individual
Case Manager/Care Coordinator1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 824-0674
1154679553MRS. MARSHA LYNNETTE CUNNINGHAM
Individual
Case Manager/Care Coordinator1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 824-0674
1669720074 KRISTEN LEIGH ROSS
Individual
Case Manager/Care Coordinator1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 824-0674
1356699458 JONILLA DEANE LONG
Individual
Case Manager/Care Coordinator1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 824-0674
1467703348NORTHWEST TREATMENT CENTER
Organization
Substance Abuse Rehabilitation Facility1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 824-0674
1043555378MRS. KAYLA LOUISE MCCLAIN BS
Individual
Counselor1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 824-0674
1376991737WAYNOKA MENTAL HEALTH AUTHORITY
Organization
Substance Abuse Rehabilitation Facility1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 824-0674
1780115162 PATRICIA BYRD
Individual
Case Manager/Care Coordinator1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 824-0674
1437640596 MARISSA HOFEN
Individual
Case Manager/Care Coordinator1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 824-0674
1205320140 CLARISSA M FIFIELD LCSW
Individual
Social Worker (Clinical)1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 824-0674
1871075143 TAMARA BOLAR
Individual
Peer Specialist1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 824-0674
1649835869 JORDAN CREMERS
Individual
Peer Specialist1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 824-0674
1134750698 MACKENZIE RAE BRUNE PRSS
Individual
Case Manager/Care Coordinator1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 737-0007
1942334768WAYNOKA MENTAL HEALTH AUTHORITY
Organization
Substance Abuse Rehabilitation Facility1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 824-0674
1265000889 KRISTEN RENEA HARRIS
Individual
Case Manager/Care Coordinator1095 NICKERSON ST
WAYNOKA, OK 73860
(580) 824-0674

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164904710, enumerated in the NPI registry as an "individual" on August 30, 2018

The provider is located at 1095 Nickerson St Waynoka, Ok 73860 and the phone number is (580) 824-0674

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

This NPI record was last updated on August 30, 2018. 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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