JACLYN ROCHE
NPI 1255101630
Peer Specialist in Tahlequah, OK

NPI Status: Active since January 05, 2024

Contact Information

1640 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 078-9009

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  • Individual
  • Female
  • Peer Specialist

About JACLYN ROCHE

This page provides the complete NPI Profile along with additional information for Jaclyn Roche, a provider established in Tahlequah, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1255101630 assigned on January 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated May 2025.

NPI
1255101630
Provider Name
JACLYN ROCHE
Gender
Female
Entity Type
Individual
Location Address
1640 W KEETOOWAH ST TAHLEQUAH, OK 74464
Location Phone
(918) 078-9009
Mailing Address
1640 W KEETOOWAH ST TAHLEQUAH, OK 74464
Mailing Phone
(918) 708-9009
Is Sole Proprietor?
No
Enumeration Date
01-05-2024
Last Update Date
05-28-2025
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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.
1255101630
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210520266
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 2 + 0 + 2 + 6 + 6 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1255101630 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 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497779748DR. KATE L MILLER OD
Individual
Optometrist1640 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 456-2250
1770277584 KIMBERLY MARIE ANTOINETTE WHEELER MSW
Individual
Counselor (Mental Health)1640 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-9009
1023895695 MATTHEW DENNIS WENSKE LPC-CANDIDATE
Individual
Counselor (Mental Health)1640 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-9009
1033998984 ALYSSA CHILDS
Individual
Peer Specialist1640 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-9009
1306611397 LACEE DANIELS
Individual
Peer Specialist1640 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-9009
1548025067 HEIDI LYN RICHARDSON
Individual
Case Manager/Care Coordinator1640 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-9009
1871357541 BETHANY MAE WORTHINGTON LPC-C, LADCMH-C
Individual
Counselor1640 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-9009
1700395902 RACHEL LYNN RICHARDSON-WOOD
Individual
Counselor1640 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-9009
1760872915 CINDY DOWNS LPC
Individual
Counselor (Mental Health)1640 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 207-6760
1619796091 BAYLEIGH JUHREE MILLER LPN
Individual
Licensed Practical Nurse1640 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-9009
1952032864 KENDRA JEAN FULBRIGHT APRN-CNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)1640 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-9009
1811752157ECHOTA BEHAVIORAL HEALTH SERVICES, LLC
Organization
Community/Behavioral Health1640 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-9009

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255101630, enumerated in the NPI registry as an "individual" on January 05, 2024

The provider is located at 1640 W Keetoowah St Tahlequah, Ok 74464 and the phone number is (918) 078-9009

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

This NPI record was last updated on January 05, 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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