STEPHANIE JACKSON OCPRS
NPI 1215514120
Peer Specialist in Beachwood, OH
NPI Status: Active since March 26, 2021
Contact Information
25201 CHAGRIN BLVD STE 390
BEACHWOOD, OH
ZIP 44122
Phone: (216) 910-9015
Fax: (216) 910-9015
- Individual
- Female
- Peer Specialist
About STEPHANIE JACKSON
This page provides the complete NPI Profile along with additional information for Stephanie Jackson, a provider established in Beachwood, Ohio with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1215514120 assigned on March 2021. The practitioner's primary taxonomy code is 175T00000X with license number 0002256 (OH). The provider is registered as an individual and her NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1215514120
- Provider Name
- STEPHANIE JACKSON OCPRS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122
- Location Phone
- (216) 910-9015
- Location Fax
- (216) 910-9015
- Mailing Address
- 8414 WHITTINGTON DR PARMA, OH 44129
- Mailing Phone
- (440) 732-1889
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-26-2021
- Last Update Date
- 03-26-2021
- 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
- License No.
- 0002256
- License State
- OH
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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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 | 2 | 1 | 5 | 5 | 1 | 4 | 1 | 2 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 2 | 5 | 10 | 1 | 8 | 1 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 2 + 5 + 1 + 0 + 1 + 8 + 1 + 4 + 24 = 50 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1215514120 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 |
---|---|---|---|
1649587502 | ELIZABETH L GARRETT LISW-S Individual | Social Worker (Clinical) | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 220-3100 |
1801309372 | THE KENSINGTON THERAPY GROUP, LLC Organization | Social Worker (Clinical) | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 220-3100 |
1912299306 | LAUREL GREENE KAISER LISW Individual | Social Worker (Clinical) | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 282-7244 |
1144852757 | MR. KHALIL JAMAAL ALIM Individual | Peer Specialist | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 910-9015 |
1528692712 | MARTHA D LASKA LPCC LLC Organization | Counselor (Professional) | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 302-1444 |
1790116085 | NAFISAH ALIM LCDC III Individual | Counselor (Addiction (Substance Use Disorder)) | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 910-9015 |
1487283453 | LISA BOTTOMS MLRHR Individual | Case Management | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 910-9015 |
1225654205 | LATIFA DICKERSON BRADLEY Individual | Peer Specialist | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 910-9015 |
1205452513 | SHIRI KATZ COUNSELING & THERAPY LLC Organization | Social Worker (Clinical) | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 360-5223 |
1487272225 | AUTHENTIC PRIDE THERAPY LLC Organization | Social Worker (Clinical) | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 400-5709 |
1033721535 | ASHLEY MICHELLE GULLEY Individual | Social Worker (Clinical) | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 209-7830 |
1407469232 | MICHELLE MARIE PFEIL Individual | Counselor (Addiction (Substance Use Disorder)) | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 910-9015 |
1669089033 | MS. DANINE P HARVELL OCPRS Individual | Peer Specialist | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 910-9015 |
1831460823 | MRS. NATALIE LYNN JERNIGAN LPCC-S Individual | Counselor (Professional) | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 961-2962 |
1689288060 | VON E HARRIS CDCA Individual | Counselor (Addiction (Substance Use Disorder)) | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 910-9015 |
1922600154 | JASON LAMONT PURIFIE Individual | Peer Specialist | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 910-9015 |
1720675978 | MICHELLE REED Individual | Peer Specialist | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 910-9015 |
1043824766 | LAUREL G KAISER Organization | Counselor | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 282-7244 |
1528657863 | MS. HERLICKIA C SHEPHERD Individual | Peer Specialist | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 910-9015 |
1447842471 | DIANE CASTO OCPRS Individual | Peer Specialist | 25201 CHAGRIN BLVD STE 390 BEACHWOOD, OH 44122 (216) 910-9015 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215514120, enumerated in the NPI registry as an "individual" on March 26, 2021
The provider is located at 25201 Chagrin Blvd Ste 390 Beachwood, Oh 44122 and the phone number is (216) 910-9015
The provider's speciality is Peer Specialist with taxonomy code 175T00000X
This NPI record was last updated on March 26, 2021. 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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