ANTHONY DION JARRARD CADC I/CRM/PSS/QMHAI
NPI 1235785502
Peer Specialist in Portland, OR

NPI Status: Active since August 13, 2019

Contact Information

1631 SW COLUMBIA ST
PORTLAND, OR
ZIP 97201
Phone: (971) 261-0544
Fax: (971) 245-3043

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  • Individual
  • Male
  • Peer Specialist

About ANTHONY JARRARD

This page provides the complete NPI Profile along with additional information for Anthony Jarrard, a provider established in Portland, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1235785502 assigned on August 2019. The practitioner's primary taxonomy code is 175T00000X with license number 3210 (OR). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1235785502
Provider Name
ANTHONY DION JARRARD CADC I/CRM/PSS/QMHAI
Gender
Male
Entity Type
Individual
Location Address
1631 SW COLUMBIA ST PORTLAND, OR 97201
Location Phone
(971) 261-0544
Location Fax
(971) 245-3043
Mailing Address
211 SE CARUTHERS ST PORTLAND, OR 97214
Mailing Phone
(503) 224-1044
Mailing Fax
(971) 245-3043
Is Sole Proprietor?
No
Enumeration Date
08-13-2019
Last Update Date
08-20-2025
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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.
3210
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)

20-06-24 (OR)
2101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

18-CRM-206 (OR)
3101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

25-QMHA-I-005159 (OR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
500768570MEDICAID (05)OR 
500770905MEDICAID (05)OR 

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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 1235785502, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 6 + 5 + 1 + 4 + 8 + 1 + 0 + 5 + 0 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1235785502.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Registered Nurse
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Substance Abuse Rehabilitation Facility
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Community/Behavioral Health
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Case Management
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Social Worker (Clinical)
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Psychologist
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Registered Nurse (Community Health)
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Counselor (Mental Health)
1631 SW COLUMBIA ST
PORTLAND, OR 97201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235785502, enumerated as an "individual" on August 13, 2019.

The provider is located at 1631 SW COLUMBIA ST PORTLAND, OR 97201 and the phone number is (971) 261-0544.

Peer Specialist with taxonomy code 175T00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.