JEFFREY DEATHERAGE
NPI 1174401012
Peer Specialist in Mcalester, OK

NPI Status: Active since August 26, 2025

Contact Information

1101 E MONROE AVE
MCALESTER, OK
ZIP 74501
Phone: (918) 429-4192

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  • Individual
  • Male
  • Peer Specialist

About JEFFREY DEATHERAGE

This page provides the complete NPI Profile along with additional information for Jeffrey Deatherage, a provider established in Mcalester, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1174401012 assigned on August 2025. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1174401012
Provider Name
JEFFREY DEATHERAGE
Gender
Male
Entity Type
Individual
Location Address
1101 E MONROE AVE MCALESTER, OK 74501
Location Phone
(918) 429-4192
Mailing Address
1101 E MONROE AVE MCALESTER, OK 74501
Mailing Phone
(918) 429-4192
Is Sole Proprietor?
No
Enumeration Date
08-26-2025
Last Update Date
08-26-2025
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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
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.

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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 1174401012, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
2
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 7 → 14 → 5 4 → 8 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 4 + 4 + 8 + 0 + 2 + 0 + 2 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1174401012.

Other Providers at the Same Location


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

Psychiatric Hospital
1101 E MONROE AVE
MCALESTER, OK 74501
Counselor (Professional)
1101 E MONROE AVE
MCALESTER, OK 74501
Social Worker (Clinical)
1101 E MONROE AVE
MCALESTER, OK 74501
Counselor (Professional)
1101 E MONROE AVE
MCALESTER, OK 74501
Counselor (Professional)
1101 E MONROE AVE
MCALESTER, OK 74501
Counselor (Mental Health)
1101 E MONROE AVE
MCALESTER, OK 74501
Counselor (Mental Health)
1101 E MONROE AVE
MCALESTER, OK 74501
Registered Nurse
1101 E MONROE AVE
MCALESTER, OK 74501
Community/Behavioral Health
1101 E MONROE AVE
MCALESTER, OK 74501
Registered Nurse (Psychiatric/Mental Health, Adult)
1101 E MONROE AVE
MCALESTER, OK 74501
Counselor (Mental Health)
1101 E MONROE AVE
MCALESTER, OK 74501
Counselor (Mental Health)
1101 E MONROE AVE
MCALESTER, OK 74501
Counselor (Mental Health)
1101 E MONROE AVE
MCALESTER, OK 74501
Counselor (Mental Health)
1101 E MONROE AVE
MCALESTER, OK 74501
Counselor (Addiction (Substance Use Disorder))
1101 E MONROE AVE
MCALESTER, OK 74501
Counselor (Mental Health)
1101 E MONROE AVE
MCALESTER, OK 74501
Counselor (Mental Health)
1101 E MONROE AVE
MCALESTER, OK 74501
Case Management
1101 E MONROE AVE
MCALESTER, OK 74501
Clinic/Center (Medical Specialty)
1101 E MONROE AVE
MCALESTER, OK 74501
Clinic/Center (Mental Health (Including Community Mental Health Center))
1101 E MONROE AVE
MCALESTER, OK 74501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174401012, enumerated as an "individual" on August 26, 2025.

The provider is located at 1101 E MONROE AVE MCALESTER, OK 74501 and the phone number is (918) 429-4192.

Peer Specialist with taxonomy code 175T00000X.