SOMER JACKSON
NPI 1760191803
Peer Specialist in Poplar Bluff, MO
NPI Status: Active since November 17, 2022
Contact Information
3001 WARRIOR LN
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 686-1200
- Individual
- Female
- Peer Specialist
About SOMER JACKSON
This page provides the complete NPI Profile along with additional information for Somer Jackson, a provider established in Poplar Bluff, Missouri with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1760191803 assigned on November 2022. The practitioner's primary taxonomy code is 175T00000X with license number 15674 (MO). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1760191803
- Provider Name
- SOMER JACKSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3001 WARRIOR LN POPLAR BLUFF, MO 63901
- Location Phone
- (573) 686-1200
- Mailing Address
- 3001 WARRIOR LN POPLAR BLUFF, MO 63901
- Mailing Phone
- (573) 686-1200
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-17-2022
- Last Update Date
- 09-20-2024
- 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.
- 15674
- License State
- MO
- 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) |
|---|---|---|---|---|
| 1 | 106S00000X | Behavioral Health & Social Service Providers | Behavior Technician |
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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 | 7 | 6 | 0 | 1 | 9 | 1 | 8 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 2 | 9 | 2 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 2 + 9 + 2 + 8 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1760191803 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1083638506 | MISS ROBIN DENISE VICKERY LPC Individual | Counselor (Professional) | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 686-1200 |
| 1013024454 | MS. LYDIA ALPHA MABBITT LPC Individual | Counselor (Professional) | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 686-1200 |
| 1669572871 | TALIA E HAIDERZAD M.D. Individual | Psychiatry & Neurology (Psychiatry) | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 686-1200 |
| 1417088220 | MISS MARY BETH HALDEMAN LPC Individual | Counselor (Professional) | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 686-1200 |
| 1235250358 | SANDRA L. KEELING LPC Individual | Counselor (Mental Health) | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 686-1200 |
| 1568661700 | MRS. LYNN T KHANUJA MA, LPC, OTR/L Individual | Counselor (Professional) | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 686-1200 |
| 1215137997 | MR. NOBLE LEON SHAVER JR. LPC CSAC II Individual | Counselor (Professional) | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 686-1200 |
| 1053507707 | JO LINDA K LEWIS Individual | Case Manager/Care Coordinator | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 686-1200 |
| 1720269384 | BETTY HAM Individual | Community Health Worker | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 686-1200 |
| 1992940472 | LETISHA BROWN Individual | Community Health Worker | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 686-1200 |
| 1245477579 | BIG SPRINGS MEDICAL ASSOCIATION Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 785-7453 |
| 1427291855 | SHIRLEY A POTTER BS Individual | Case Manager/Care Coordinator | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 888-5925 |
| 1417182072 | JUDITH K NETTLES BA Individual | Case Manager/Care Coordinator | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 686-1200 |
| 1851526412 | TONYA R SIMMONS BA Individual | Community Health Worker | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 686-1200 |
| 1396970968 | JULIE E HANNER MA Individual | Community Health Worker | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 686-1200 |
| 1962637587 | MELISSA ANN HILLIS BA Individual | Community Health Worker | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 686-1200 |
| 1386879997 | BARBARA E WORLEY Individual | Technician, Other | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 686-1200 |
| 1679708291 | TAMMY R SPRINGER BSW Individual | Community Health Worker | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 686-1200 |
| 1134354673 | BRIAN E TURNER BSE Individual | Case Manager/Care Coordinator | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 686-1200 |
| 1023243466 | JANICE A CROOK Individual | Community Health Worker | 3001 WARRIOR LN POPLAR BLUFF, MO 63901 (573) 686-1200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760191803, enumerated in the NPI registry as an "individual" on November 17, 2022
The provider is located at 3001 Warrior Ln Poplar Bluff, Mo 63901 and the phone number is (573) 686-1200
The provider's speciality is Peer Specialist with taxonomy code 175T00000X
This NPI record was last updated on November 17, 2022. 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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