JACOB EDMOND PR
NPI 1265177703
Peer Specialist in Huntington, WV
NPI Status: Active since April 29, 2022
Contact Information
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
Phone: (681) 888-5291
- Individual
- Male
- Peer Specialist
About JACOB EDMOND
This page provides the complete NPI Profile along with additional information for Jacob Edmond, a provider established in Huntington, West Virginia with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1265177703 assigned on April 2022. The practitioner's primary taxonomy code is 175T00000X with license number 22-929 (WV). The provider is registered as an individual and his NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1265177703
- Provider Name
- JACOB EDMOND PR
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 137 8TH AVE W HUNTINGTON, WV 25701
- Location Phone
- (681) 888-5291
- Mailing Address
- 137 8TH AVE W HUNTINGTON, WV 25701
- Mailing Phone
- (681) 888-5291
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-29-2022
- Last Update Date
- 12-09-2022
- Code Navigator
Location Map
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.
- 22-929
- License State
- WV
- 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) |
|---|---|---|---|---|
| 1 | 175T00000X | Other Service Providers | Peer Specialist | (WV) |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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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. | |||||||||
| 1 | 2 | 6 | 5 | 1 | 7 | 7 | 7 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 2 | 7 | 14 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 2 + 7 + 1 + 4 + 7 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1265177703 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
LAUREN LUTHER PR
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
HARRY MCCOY PR
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
MR. BARRETT PHILLIPS PRSS
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
MR. RICHARD LEEGAN PR
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
MR. PAUL WEBB PR
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
BLAINE MACKEY PRSS
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
KATHERINE SMITH PR
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
MR. JAVONNE STAUNTON-BAILEY PR
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
MR. ZACHARY FRANCE PRSS
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
BRANDON CASTO PR
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
MR. CORY LILLY PR
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
MR. JEREMY BAILEY PRSS
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
PATRICK JOSEPH BROWN PR
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
MS. KIMBERLY ELLIOTT PRSS
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
BILLY JOE LITZ PR
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
STEVEN HARGETT PR
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
MR. NICKOLAS ARTHERHULTS PR
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
CHASITY KNAPP PR
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
MS. MELISSA SHROYER PR
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
GREGORY CONLEY PR
Peer Specialist
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265177703, enumerated as an "individual" on April 29, 2022.
The provider is located at 137 8TH AVE W HUNTINGTON, WV 25701 and the phone number is (681) 888-5291.
Peer Specialist with taxonomy code 175T00000X.
