MARISSA RAE JACOBSON
NPI 1184432148
Peer Specialist in Fossil, OR
NPI Status: Active since December 23, 2024
Contact Information
401 FOURTH ST
FOSSIL, OR
ZIP 97830
Phone: (541) 763-2746
Fax: (541) 763-2170
- Individual
- Female
- Peer Specialist
About MARISSA JACOBSON
This page provides the complete NPI Profile along with additional information for Marissa Jacobson, a provider established in Fossil, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1184432148 assigned on December 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1184432148
- Provider Name
- MARISSA RAE JACOBSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 401 FOURTH ST FOSSIL, OR 97830
- Location Phone
- (541) 763-2746
- Location Fax
- (541) 763-2170
- Mailing Address
- PO BOX 469 HEPPNER, OR 97836
- Mailing Phone
- (541) 676-9161
- Mailing Fax
- (541) 763-2170
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-23-2024
- Last Update Date
- 12-23-2024
- Code Navigator
Location Map
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. | |||||||||
| 1 | 1 | 8 | 4 | 4 | 3 | 2 | 1 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 8 | 3 | 4 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 8 + 3 + 4 + 1 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1184432148 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861063893 | TARA MCINTOSH Individual | Counselor (Mental Health) | 401 FOURTH ST FOSSIL, OR 97830 (541) 763-4276 |
| 1346977824 | TEELA MARIE KILBY QMHA - PEER Individual | Peer Specialist | 401 FOURTH ST FOSSIL, OR 97830 (541) 763-2746 |
| 1154039584 | MARTY RAY BOEHLKE THW Individual | Peer Specialist | 401 FOURTH ST FOSSIL, OR 97830 (541) 763-2746 |
| 1528819745 | MARIA TERESA HAZEL PSS Individual | Peer Specialist | 401 FOURTH ST FOSSIL, OR 97830 (541) 763-2746 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184432148, enumerated in the NPI registry as an "individual" on December 23, 2024
The provider is located at 401 Fourth St Fossil, Or 97830 and the phone number is (541) 763-2746
The provider's speciality is Peer Specialist with taxonomy code 175T00000X
This NPI record was last updated on December 23, 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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