DAVID ALEXANDER JACKSON PRSS
NPI 1215625421
Peer Specialist in Charleston, WV
NPI Status: Active since April 26, 2023
Contact Information
1303 WASHINGTON ST W
CHARLESTON, WV
ZIP 25302
Phone: (304) 553-0010
Fax: (304) 699-2141
- Individual
- Male
- Peer Specialist
About DAVID JACKSON
This page provides the complete NPI Profile along with additional information for David Jackson, a provider established in Charleston, West Virginia with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1215625421 assigned on April 2023. The practitioner's primary taxonomy code is 175T00000X with license number 23-977 (WV). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1215625421
- Provider Name
- DAVID ALEXANDER JACKSON PRSS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1303 WASHINGTON ST W CHARLESTON, WV 25302
- Location Phone
- (304) 553-0010
- Location Fax
- (304) 699-2141
- Mailing Address
- 1303 WASHINGTON ST W CHARLESTON, WV 25302
- Mailing Phone
- (304) 553-0010
- Mailing Fax
- (304) 699-2141
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-26-2023
- Last Update Date
- 04-26-2023
- 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.
- 23-977
- License State
- WV
- 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 | 2 | 1 | 5 | 6 | 2 | 5 | 4 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 12 | 2 | 10 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 1 + 2 + 2 + 1 + 0 + 4 + 4 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1215625421 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 |
|---|---|---|---|
| 1134880297 | EMILY BETH HILL BA, MA Individual | Counselor (Mental Health) | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (304) 202-1699 |
| 1417617127 | HOLLY RADFORD Individual | Counselor | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (304) 202-1699 |
| 1649930843 | ROBERT EARL MILLER Individual | Counselor | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (304) 202-1699 |
| 1467187252 | JESSICA SIPES PRSS Individual | Peer Specialist | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (304) 202-1699 |
| 1467188748 | TONIA BLOUNT PRSS Individual | Peer Specialist | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (304) 202-1699 |
| 1538892021 | MS. BRIDGETT ELAINE SIMONS I PRSS Individual | Peer Specialist | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (304) 202-1699 |
| 1093422669 | LEA BESS Individual | Contractor | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (304) 400-5680 |
| 1245955335 | DONNETTA R ADAMS Individual | Peer Specialist | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (304) 202-1699 |
| 1851008049 | MRS. TONIA JO FORTUNE ABA Individual | Assistant Behavior Analyst | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (304) 202-1699 |
| 1497451363 | JOAN L. MANN MA, LPC Individual | Counselor | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (540) 815-9084 |
| 1770289746 | JAMELA BROWN BA, LSW Individual | Social Worker | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (304) 202-1699 |
| 1023707080 | MR. ETHAN WILLIAM EVERS BS Individual | Counselor | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (681) 205-8646 |
| 1700577152 | JAMES ANDERSON MCCAULEY PRSS Individual | Peer Specialist | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (304) 553-0010 |
| 1700660131 | SHARON WHITTAKER PRSS Individual | Peer Specialist | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (304) 553-0010 |
| 1538947478 | SETH LILLY M.A. COUNSELING Individual | Counselor (Mental Health) | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (304) 553-0010 |
| 1609655794 | MR. WILLIAM JAMES THAXTON Individual | Counselor (Addiction (Substance Use Disorder)) | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (304) 917-0021 |
| 1295442283 | MIKHAELA ELIZABETH AMICK MA, MA Individual | Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)) | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (304) 202-1699 |
| 1679332258 | MRS. LAVINA MAE ANDERS BS, SC Individual | Counselor (Addiction (Substance Use Disorder)) | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (304) 553-0010 |
| 1376361980 | MR. TERENCE LEE SHELNUTT PRSS Individual | Peer Specialist | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (304) 553-0010 |
| 1386467694 | AMANDA DILLON PRSS Individual | Contractor | 1303 WASHINGTON ST W CHARLESTON, WV 25302 (304) 553-0010 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215625421, enumerated in the NPI registry as an "individual" on April 26, 2023
The provider is located at 1303 Washington St W Charleston, Wv 25302 and the phone number is (304) 553-0010
The provider's speciality is Peer Specialist with taxonomy code 175T00000X
This NPI record was last updated on April 26, 2023. 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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