JACLYN ROCHE
NPI 1255101630
Peer Specialist in Tahlequah, OK

NPI Status: Active since January 05, 2024

Contact Information

1640 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 078-9009

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  • Individual
  • Female
  • Peer Specialist

About JACLYN ROCHE

This page provides the complete NPI Profile along with additional information for Jaclyn Roche, a provider established in Tahlequah, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1255101630 assigned on January 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated May 2025.

NPI
1255101630
Provider Name
JACLYN ROCHE
Gender
Female
Entity Type
Individual
Location Address
1640 W KEETOOWAH ST TAHLEQUAH, OK 74464
Location Phone
(918) 078-9009
Mailing Address
1640 W KEETOOWAH ST TAHLEQUAH, OK 74464
Mailing Phone
(918) 708-9009
Is Sole Proprietor?
No
Enumeration Date
01-05-2024
Last Update Date
05-28-2025
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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
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 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.
1255101630
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210520266
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 2 + 0 + 2 + 6 + 6 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1255101630 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

DR. KATE L MILLER OD

Optometrist

1640 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464

(918) 456-2250

KIMBERLY MARIE ANTOINETTE WHEELER MSW

Counselor

(Mental Health)

1640 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464

(918) 708-9009

MATTHEW DENNIS WENSKE LPC-CANDIDATE

Counselor

(Mental Health)

1640 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464

(918) 708-9009

ALYSSA CHILDS

Peer Specialist

1640 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464

(918) 708-9009

LACEE DANIELS

Peer Specialist

1640 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464

(918) 708-9009

HEIDI LYN RICHARDSON

Case Manager/Care Coordinator

1640 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464

(918) 708-9009

BETHANY MAE WORTHINGTON LPC-C, LADCMH-C

Counselor

1640 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464

(918) 708-9009

RACHEL LYNN RICHARDSON-WOOD

Counselor

1640 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464

(918) 708-9009

CINDY DOWNS LPC

Counselor

(Mental Health)

1640 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464

(918) 207-6760

BAYLEIGH JUHREE MILLER LPN

Licensed Practical Nurse

1640 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464

(918) 708-9009

KENDRA JEAN FULBRIGHT APRN-CNP

Nurse Practitioner

(Psychiatric/Mental Health)

1640 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464

(918) 708-9009

ECHOTA BEHAVIORAL HEALTH SERVICES, LLC

Community/Behavioral Health

1640 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464

(918) 708-9009

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255101630, enumerated in the NPI registry as an "individual" on January 05, 2024

The provider is located at 1640 W Keetoowah St Tahlequah, Ok 74464 and the phone number is (918) 078-9009

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

This NPI record was last updated on January 05, 2024. 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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