What is Jared Deerhake's NPI number?

Jared Deerhake's National Provider Identifier (NPI) is 1790135796, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jared Deerhake's specialty?

Jared Deerhake is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).

Where is Jared Deerhake located?

Jared Deerhake's practice location on file with NPPES is 904 E. Martin Luther King Dr., Centralia, IL 62801-3058.

What is Jared Deerhake's phone number?

The practice phone number listed in the NPPES registry for Jared Deerhake is (618) 533-1391.

Is Jared Deerhake's NPI active?

Yes — Jared Deerhake's NPI (1790135796) is active in the NPPES registry as of the last update on 2016-06-21.

IndividualActive

Jared Deerhake, BS MHP

NPI 1790135796 · Counselor · Centralia, IL

Jared Deerhake, BS MHP is a Counselor provider in Centralia, IL (NPI 1790135796).

Provider details

NPI number: 1790135796
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Credential: BS MHP
Sex: Male
Sole proprietor: No

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(65/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

904 E. Martin Luther King Dr.

Centralia, IL 62801-3058

Phone: (618) 533-1391

Street-level locationGet directions

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Mailing address