EBONI SHANTELLE JACKSON
NPI 1265229595
Peer Specialist in Cody, WY

NPI Status: Active since April 21, 2025

Contact Information

707 SHERIDAN AVE
CODY, WY
ZIP 82414
Phone: (307) 578-2486
Fax: (307) 578-2247

NPI Profile Information
Primary Taxonomy
Secondary Locations
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Peer Specialist

About EBONI JACKSON

This page provides the complete NPI Profile along with additional information for Eboni Jackson, a provider established in Cody, Wyoming with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1265229595 assigned on April 2025. The practitioner's primary taxonomy code is 175T00000X with license number 190 (WY). The provider is registered as an individual and her NPI record was last updated March 2026.

NPI: 1265229595
Provider Name: EBONI SHANTELLE JACKSON
Gender: Female
Entity Type: Individual
Location Address: 707 SHERIDAN AVE CODY, WY 82414
Location Phone: (307) 578-2486
Location Fax: (307) 578-2247
Mailing Address: 707 SHERIDAN AVE CODY, WY 82414
Mailing Phone: (307) 578-2486
Mailing Fax: (307) 578-2247
Is Sole Proprietor?: No
Enumeration Date: 04-21-2025
Last Update Date: 03-05-2026
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Location Map

Secondary Locations

125 S Division St
Powell, WY 82435
(307) 754-7970
507 N Clark St
Powell, WY 82435
(307) 754-7970

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.: 190
License State: WY
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.

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 1265229595, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 12 → 1 + 2

Pos 4

Unchanged

Pos 5

Doubled → 4

Pos 6

Unchanged

Pos 7

Doubled → 18 → 1 + 8

Pos 8

Unchanged

Pos 9

Doubled → 18 → 1 + 8

Check

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 6 → 12 → 3 2 → 4 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 2 + 5 + 4 + 2 + 1 + 8 + 5 + 1 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1265229595.