KEVIN JACKSON SR. NPI 1164845400
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA
About KEVIN JACKSON SR.
Kevin Jackson is a provider established in San Bernardino, California and his medical specialization is Counselor with a focus in addiction (substance use disorder) . The NPI number of this provider is 1164845400 and was assigned on January 2014. The practitioner's primary taxonomy code is 101YA0400X. The provider is registered as an individual and his NPI record was last updated 4 years ago.
| NPI | 1164845400 |
| Provider Name | KEVIN JACKSON SR. |
| Location Address | 621 E CARNAGIE DR # 210 SAN BERNARDINO CA 92415 SAN BERNARDINO, CA 92415 |
| Location Phone | (909) 386-9767 |
| Mailing Address | 621 E CARNAGIE DR # 210 SAN BERNARDINO CA 92415 SAN BERNARDINO, CA 92415 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 01-22-2014 |
| Last Update Date | 01-14-2020 |
A Substance Abuse or Addiction Counselor like Kevin Jackson advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends..
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 101YA0400X |
| Classification | Counselor |
| Type | Behavioral Health & Social Service Providers |
| Specialization | Addiction (Substance Use Disorder) |
Business Address
621 E CARNAGIE DR # 210 SAN BERNARDINO CA 92415
SAN BERNARDINO, CA
ZIP 92415
Phone: (909) 386-9767
Fax: (909) 381-2172
Mailing Address
621 E CARNAGIE DR # 210 SAN BERNARDINO CA 92415
SAN BERNARDINO, CA
ZIP 92415
Phone: (909) 386-9767
Fax: (909) 381-2172
Location Map
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 | 1 | 6 | 4 | 8 | 4 | 5 | 4 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 16 | 4 | 10 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 6 + 4 + 1 + 0 + 4 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1164845400 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
What is Kevin Jackson SR. NPI number?
The NPI number assigned to this healthcare provider is 1164845400, registered as an "individual" on January 22, 2014
Where is the provider located?
The provider is located at 621 E Carnagie Dr # 210 San Bernardino Ca 92415 San Bernardino, Ca 92415 and the phone number is (909) 386-9767
What is the provider specialty code?
The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)
How do I update my NPI information?
The NPI record of Kevin Jackson SR. was last updated on January 22, 2014. 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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