ROBERT JACKSON
NPI 1538864038
Peer Specialist in Eugene, OR

NPI Status: Active since April 03, 2023

Contact Information

2525 PORTLAND ST
EUGENE, OR
ZIP 97405
Phone: (541) 515-6321
Fax: (541) 515-6195

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  • Individual
  • Male
  • Peer Specialist

About ROBERT JACKSON

This page provides the complete NPI Profile along with additional information for Robert Jackson, a provider established in Eugene, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1538864038 assigned on April 2023. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1538864038
Provider Name
ROBERT JACKSON
Gender
Male
Entity Type
Individual
Location Address
2525 PORTLAND ST EUGENE, OR 97405
Location Phone
(541) 515-6321
Location Fax
(541) 515-6195
Mailing Address
PO BOX 320 SILETZ, OR 97380
Is Sole Proprietor?
Yes
Enumeration Date
04-03-2023
Last Update Date
10-05-2023
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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 State
OR
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.
1538864038
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2568166806
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 1 + 6 + 6 + 8 + 0 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1538864038 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114377637COLUMBIACARE SERVICES
Organization
Community Based Residential Treatment Facility, Mental Illness2525 PORTLAND ST
EUGENE, OR 97405
(541) 858-8170
1649821356 BELINDA A SMITH
Individual
Counselor (Mental Health)2525 PORTLAND ST
EUGENE, OR 97405
(541) 515-6321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538864038, enumerated in the NPI registry as an "individual" on April 03, 2023

The provider is located at 2525 Portland St Eugene, Or 97405 and the phone number is (541) 515-6321

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

This NPI record was last updated on April 03, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.