MARCUS GEORGE JACKSON
NPI 1912658238
Peer Specialist in Metairie, LA

NPI Status: Active since January 18, 2022

Contact Information

3925 N I 10 SERVICE RD W STE 117
METAIRIE, LA
ZIP 70002
Phone: (504) 455-2446

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  • Individual
  • Male
  • Peer Specialist

About MARCUS JACKSON

This page provides the complete NPI Profile along with additional information for Marcus Jackson, a provider established in Metairie, Louisiana with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1912658238 assigned on January 2022. The practitioner's primary taxonomy code is 175T00000X with license number OBHPSS856 (LA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1912658238
Provider Name
MARCUS GEORGE JACKSON
Gender
Male
Entity Type
Individual
Location Address
3925 N I 10 SERVICE RD W STE 117 METAIRIE, LA 70002
Location Phone
(504) 455-2446
Mailing Address
3925 N I 10 SERVICE RD W STE 117 METAIRIE, LA 70002
Mailing Phone
(504) 455-2446
Is Sole Proprietor?
Yes
Enumeration Date
01-18-2022
Last Update Date
05-31-2022
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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.
OBHPSS856
License State
LA
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)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

NA (LA)

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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.
1912658238
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29221251626
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 2 + 5 + 1 + 6 + 2 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1912658238 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 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194365213 FAITH ELIZABETH FACIANE
Individual
Licensed Practical Nurse3925 N I 10 SERVICE RD W STE 117
METAIRIE, LA 70002
(504) 455-2446
1265040059MS. JEANNETTE M MONTGOMERY
Individual
Case Manager/Care Coordinator3925 N I 10 SERVICE RD W STE 117
METAIRIE, LA 70002
(504) 482-2735
1356931877 LORI LYNNE FORTE LPC
Individual
Counselor (Mental Health)3925 N I 10 SERVICE RD W STE 117
METAIRIE, LA 70002
(504) 482-2735
1083283261 AMY KYLENE HAMM
Individual
Registered Nurse3925 N I 10 SERVICE RD W STE 117
METAIRIE, LA 70002
(504) 482-2735
1851068449 BETHANY STILLWELL RN
Individual
Registered Nurse3925 N I 10 SERVICE RD W STE 117
METAIRIE, LA 70002
(504) 455-2446
1013687565 JAYNE STIEBING CPSS
Individual
Peer Specialist3925 N I 10 SERVICE RD W STE 117
METAIRIE, LA 70002
(504) 482-2735
1013687599MS. AVERY PHELPS MCKEE RN
Individual
Registered Nurse3925 N I 10 SERVICE RD W STE 117
METAIRIE, LA 70002
(504) 455-2446
1104596022 SHALOM FRANCO KRUGER
Individual
Registered Nurse (Psychiatric/Mental Health)3925 N I 10 SERVICE RD W STE 117
METAIRIE, LA 70002
(504) 455-2446
1437887072 CESILIE LAURA HAEFELE RN
Individual
Registered Nurse3925 N I 10 SERVICE RD W STE 117
METAIRIE, LA 70002
(504) 689-9948
1669192399 GREGORY NICHOLAS ROBERTS CSW
Individual
Social Worker3925 N I 10 SERVICE RD W STE 117
METAIRIE, LA 70002
(504) 482-2735
1811758766 GENEVIEVE LOVERN
Individual
Counselor3925 N I 10 SERVICE RD W STE 117
METAIRIE, LA 70002
(504) 455-2446
1124875711 REBA ANN ISAAC
Individual
Case Manager/Care Coordinator3925 N I 10 SERVICE RD W STE 117
METAIRIE, LA 70002
(504) 482-2735
1568293298 LAUREN MCWHORTER PLPC
Individual
Counselor3925 N I 10 SERVICE RD W STE 117
METAIRIE, LA 70002
(504) 481-6235
1952134132 TOYE D THOMPSON
Individual
Case Manager/Care Coordinator3925 N I 10 SERVICE RD W STE 117
METAIRIE, LA 70002
(504) 482-2735
1063528560FAMILY PRESERVATION SERVICES OF FLORIDA, LLC
Organization
Community/Behavioral Health3925 N I 10 SERVICE RD W STE 117
METAIRIE, LA 70002
(504) 455-2446
1770392524 WAI YING CHAN LPC
Individual
Counselor (Professional)3925 N I 10 SERVICE RD W STE 117
METAIRIE, LA 70002
(504) 655-5033
1366275984 SARAH KATHERINE MAYNOR
Individual
Case Manager/Care Coordinator3925 N I 10 SERVICE RD W STE 117
METAIRIE, LA 70002
(504) 913-9390

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912658238, enumerated in the NPI registry as an "individual" on January 18, 2022

The provider is located at 3925 N I 10 Service Rd W Ste 117 Metairie, La 70002 and the phone number is (504) 455-2446

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

This NPI record was last updated on January 18, 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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