NICOLE DEATHERAGE
NPI 1184574238
Counselor - School in Folsom, CA

Active since January 29, 2026
1655 IRON POINT RD, FOLSOM, CA 95630(916) 294-2400 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole Deatherage NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE DEATHERAGE (NPI 1184574238) is an individual school provider in Folsom, California and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1184574238
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameNICOLE DEATHERAGE
Location Address1655 IRON POINT RDFolsom, CA 95630-7801
Mailing Address1655 Iron Point RdFolsom, CA 95630-7801 · (916) 294-2400
Sole ProprietorNo
Enumeration DateJanuary 29, 2026
Last NPPES UpdateJanuary 30, 2026
NPPES CertifiedJanuary 30, 2026
NPI 1184574238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
1655 IRON POINT RD, Folsom, CA 95630

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
1655 IRON POINT RD
FOLSOM, CA 95630
Counselor (School)
1655 IRON POINT RD
FOLSOM, CA 95630
Counselor
1655 IRON POINT RD
FOLSOM, CA 95630
Counselor (School)
1655 IRON POINT RD
FOLSOM, CA 95630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Deatherage's NPI number?

The NPI number for Nicole Deatherage is 1184574238. It was assigned to this individual provider in the NPPES registry on January 29, 2026.

Where is Nicole Deatherage located?

Nicole Deatherage practices at 1655 Iron Point Rd, Folsom, CA 95630. The listed phone number is (916) 294-2400.

What is Nicole Deatherage's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Nicole Deatherage was last updated on January 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.