JARED PECK
NPI 1497267116
Peer Specialist in Springfield, OH

NPI Status: Active since November 03, 2017

Contact Information

2624 LEXINGTON AVE
SPRINGFIELD, OH
ZIP 45505
Phone: (937) 328-5300
Fax: (937) 322-4900

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  • Individual
  • Male
  • Peer Specialist

About JARED PECK

This page provides the complete NPI Profile along with additional information for Jared Peck, a provider established in Springfield, Ohio with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1497267116 assigned on November 2017. The practitioner's primary taxonomy code is 175T00000X with license number 00678 (OH). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1497267116
Provider Name
JARED PECK
Gender
Male
Entity Type
Individual
Location Address
2624 LEXINGTON AVE SPRINGFIELD, OH 45505
Location Phone
(937) 328-5300
Location Fax
(937) 322-4900
Mailing Address
2624 LEXINGTON AVE SPRINGFIELD, OH 45505
Mailing Phone
(937) 328-5300
Mailing Fax
(937) 322-4900
Is Sole Proprietor?
Yes
Enumeration Date
11-03-2017
Last Update Date
10-04-2019
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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
License No.
00678
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1171M00000XOther Service Providers

Case Manager/Care Coordinator

CDCA.164909 (OH)

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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.
1497267116
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187461412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 4 + 6 + 1 + 4 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1497267116 is valid because the calculated check digit 6 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
1184896177GRAND LAKE PODIATRY INC
Organization
Podiatrist (Foot & Ankle Surgery)2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
(937) 322-3346
1336300086TEDROS ANDOM, MD LLC
Organization
Surgery2624 LEXINGTON AVE SUITE 340
SPRINGFIELD, OH 45505
(937) 688-1588
1528388485SPRINGFIELD HEALTH CARE CENTER, INC.
Organization
Non-Pharmacy Dispensing Site2624 LEXINGTON AVE 200
SPRINGFIELD, OH 45505
(937) 328-2310
1629160262DR. TEDROS ANDOM M.D.
Individual
Surgery2624 LEXINGTON AVE SUITE 340
SPRINGFIELD, OH 45505
(937) 717-4884
1639681562 ASHLEE AKE
Individual
Counselor (Addiction (Substance Use Disorder))2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
(937) 328-5300
1225502396 BRIAN JOSHUA CHAVARRIA
Individual
Case Manager/Care Coordinator2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
(937) 328-5300
1225594302 TIMECA LACHAIE JONES
Individual
Case Manager/Care Coordinator2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
(937) 328-5300
1669903142 SUE HERZOG LPN
Individual
Licensed Practical Nurse2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
(937) 328-5300
1013407220 ERICK L BISHOP
Individual
Case Manager/Care Coordinator2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
(937) 328-5300
1093227100 CHERYL FORBY
Individual
Counselor (Addiction (Substance Use Disorder))2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
(937) 328-5300
1407368343 MICHAEL GANZIE
Individual
Counselor (Addiction (Substance Use Disorder))2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
(937) 328-5300
1598277337 KATHALENE MADDY
Individual
Counselor (Addiction (Substance Use Disorder))2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
(937) 328-5300
1255843074 MELINDA HUMBARGER
Individual
Counselor (Addiction (Substance Use Disorder))2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
(937) 328-5300
1619489358 NINA WILLIAMS
Individual
Counselor (Addiction (Substance Use Disorder))2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
(937) 328-5300
1215449947 RAYMOND TAYLOR
Individual
Case Manager/Care Coordinator2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
(937) 328-5300
1881107266 MARLENE AVERY
Individual
Case Manager/Care Coordinator2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
(937) 328-5300
1548707144 MAGGI QUINN
Individual
Licensed Practical Nurse2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
(937) 328-5300
1619533676 ROBYN LEJEAN CROSSLEY
Individual
Case Manager/Care Coordinator2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
(937) 328-5300
1528615358 JAMES L HOLTZ JR.
Individual
Peer Specialist2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
(937) 328-5300
1497396055 ASHLEY W ROACH
Individual
Case Manager/Care Coordinator2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
(937) 328-5300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497267116, enumerated in the NPI registry as an "individual" on November 03, 2017

The provider is located at 2624 Lexington Ave Springfield, Oh 45505 and the phone number is (937) 328-5300

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

This NPI record was last updated on November 03, 2017. 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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