LLOYD CHRIS JACKSON MCM, CADC I, CRM II
NPI 1295411338
Peer Specialist in Portland, OR

NPI Status: Active since June 23, 2023

Contact Information

10564 SE WASHINGTON ST
PORTLAND, OR
ZIP 97216
Phone: (503) 228-9229

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  • Individual
  • Male
  • Peer Specialist
  • Accepts Insurance

About LLOYD JACKSON

This page provides the complete NPI Profile along with additional information for Lloyd Jackson, a provider established in Portland, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1295411338 assigned on June 2023. The practitioner's primary taxonomy code is 175T00000X with license number 23-CRM-II-0094 (OR). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1295411338
Provider Name
LLOYD CHRIS JACKSON MCM, CADC I, CRM II
Gender
Male
Entity Type
Individual
Location Address
10564 SE WASHINGTON ST PORTLAND, OR 97216
Location Phone
(503) 228-9229
Mailing Address
10564 SE WASHINGTON ST PORTLAND, OR 97216
Mailing Phone
(503) 228-9229
Is Sole Proprietor?
No
Enumeration Date
06-23-2023
Last Update Date
06-23-2023
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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.
23-CRM-II-0094
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)

23-05-10745 (OR)

Insurance Plans Accepted

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

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO

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

Reviews for LLOYD CHRIS JACKSON MCM, CADC I, CRM II

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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 1295411338, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
8
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 9 → 18 → 9 4 → 8 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 8 + 5 + 8 + 1 + 2 + 3 + 6 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1295411338.

Other Providers at the Same Location


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

Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Mental Health)
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Mental Health)
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Case Management
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295411338, enumerated as an "individual" on June 23, 2023.

The provider is located at 10564 SE WASHINGTON ST PORTLAND, OR 97216 and the phone number is (503) 228-9229.

Peer Specialist with taxonomy code 175T00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.