ANGELIQUE ALLYSSA JACKSON
NPI 1104577147
Peer Specialist in Oceanside, CA

NPI Status: Active since January 11, 2022

Contact Information

2122 S EL CAMINO REAL STE 201
OCEANSIDE, CA
ZIP 92054
Phone: (760) 290-8170
Fax: (760) 439-0019

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  • Individual
  • Female
  • Peer Specialist

About ANGELIQUE JACKSON

This page provides the complete NPI Profile along with additional information for Angelique Jackson, a provider established in Oceanside, California with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1104577147 assigned on January 2022. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1104577147
Provider Name
ANGELIQUE ALLYSSA JACKSON
Other Name
ANGELIQUE ALLYSSA HAYS
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
2122 S EL CAMINO REAL STE 201 OCEANSIDE, CA 92054
Location Phone
(760) 290-8170
Location Fax
(760) 439-0019
Mailing Address
2122 S EL CAMINO REAL STE 201 OCEANSIDE, CA 92054
Mailing Phone
(760) 290-8170
Mailing Fax
(760) 439-0019
Is Sole Proprietor?
No
Enumeration Date
01-11-2022
Last Update Date
01-11-2022
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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
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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104577147, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 5 → 10 → 1 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 0 + 7 + 1 + 4 + 1 + 8 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1104577147.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center
2122 S EL CAMINO REAL STE 201
OCEANSIDE, CA 92054

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104577147, enumerated as an "individual" on January 11, 2022.

The provider is located at 2122 S EL CAMINO REAL STE 201 OCEANSIDE, CA 92054 and the phone number is (760) 290-8170.

Peer Specialist with taxonomy code 175T00000X.