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Active NPI 1790135796 Individual Practitioner Male Practitioner

Jared G Deerhake , BS MHP

Counselor • Centralia, IL

Professional Overview & Biography Verified Profile Summary

Jared Deerhake, BS MHP is a registered healthcare professional specializing in Counselor in Centralia, IL. Practice services are available at 904 E. MARTIN LUTHER KING DR. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

904 E. Martin Luther King Dr.

Centralia, IL 628013058

Telephone 6185331391
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Centralia, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
93 Specialists

Practicing in Centralia, IL (3897 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
370915481007 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Andrea Slater

Counselor

NPI 1003556424
Mary Gates-Gully , MS, CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1013105295

Master of Science, Certified Alcohol and Drug Counselor

Lolita Isaiah

Counselor - Mental Health

NPI 1013378181
Steffany Slininger

Counselor - Mental Health

NPI 1013641711
Kelsey Dulle

Counselor

NPI 1023552551
NPI 1033406269

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 21, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2016

Registered at 904 E. MARTIN LUTHER KING DR., CENTRALIA, IL 628013058 (Tel: 6185331391)

📍
Updated Business Mailing Address June 21, 2016

Registered at 904 E. MARTIN LUTHER KING DR., CENTRALIA, IL 628013058

👤
Provider Name / Credentials Updated June 21, 2016

Recorded as JARED DEERHAKE, BS MHP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2016

Counselor

🟢
Initial NPI Registration & Enumeration June 21, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790135796
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2016
Last Update: June 21, 2016
Sole Proprietor: No

Mailing Address

904 E. Martin Luther King Dr.

Centralia, IL 628013058

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.