JASON M HEAD
NPI 1619343027
Peer Specialist in West Linn, OR

NPI Status: Active since August 19, 2015

Contact Information

2602 ARBOR DR
WEST LINN, OR
ZIP 97068
Phone: (503) 387-3884

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  • Individual
  • Male
  • Peer Specialist

About JASON HEAD

This page provides the complete NPI Profile along with additional information for Jason Head, a provider established in West Linn, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1619343027 assigned on August 2015. The practitioner's primary taxonomy code is 175T00000X with license number 17-CRM-032 (OR). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1619343027
Provider Name
JASON M HEAD
Other Name
JASON MILTON HEAD CADC1,CRM
Other Name Type
Professional Name (2)
Gender
Male
Entity Type
Individual
Location Address
2602 ARBOR DR WEST LINN, OR 97068
Location Phone
(503) 387-3884
Mailing Address
900 MAIN ST STE 200 OREGON CITY, OR 97045
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
08-19-2015
Last Update Date
12-05-2019
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Location Map

Secondary Locations

  • 726 W Burnside St
    Portland, OR 97209
    (503) 944-4410
  • 704 Main St Ste 302
    Oregon City, OR 97045
    (971) 386-3409
  • 900 Main St Ste 200
    Oregon City, OR 97045
    (971) 386-3409

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.
17-CRM-032
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.

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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

15-5-14 (OR)

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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.
1619343027
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
262964604
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 6 + 4 + 6 + 0 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1619343027 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568750990 PATRICIA POSTEUCA
Individual
Pharmacy Technician2602 ARBOR DR
WEST LINN, OR 97068
(503) 756-4919
1083251359 CHRISTOPHER WRIGHT
Individual
Case Manager/Care Coordinator2602 ARBOR DR
WEST LINN, OR 97068
(503) 387-3884
1851938120 KAREN KELLER
Individual
Case Manager/Care Coordinator2602 ARBOR DR
WEST LINN, OR 97068
(503) 387-3884

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619343027, enumerated in the NPI registry as an "individual" on August 19, 2015

The provider is located at 2602 Arbor Dr West Linn, Or 97068 and the phone number is (503) 387-3884

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

This NPI record was last updated on August 19, 2015. 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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