JESSICA LYNN DEATHERAGE MC TRAINEE
NPI 1245046168
Counselor - Professional in Auburn, CA

Q: What is Jessica Deatherage's NPI number?

The NPI number for Jessica Deatherage is 1245046168. It was assigned to this individual provider in the NPPES registry on December 5, 2024. The provider is also known as Jessica L Smith.

Q: What is Jessica Deatherage's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since December 05, 2024

1275 HIGH ST, AUBURN, CA 95603(530) 264-8804 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessica Lynn Deatherage Mc Trainee NPPES

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

JESSICA LYNN DEATHERAGE MC TRAINEE (NPI 1245046168) is an individual professional provider in Auburn, California and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1245046168

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJESSICA LYNN DEATHERAGECredential: MC TRAINEE

Location Address1275 HIGH STAuburn, CA 95603-5016

Mailing Address8740 Gilardi RdNewcastle, CA 95658-9341 · (916) 617-9749

Phone(530) 264-8804

Sole ProprietorNo

Enumeration DateDecember 5, 2024

NPPES CertifiedDecember 5, 2024

✔ NPI 1245046168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

1275 HIGH ST, Auburn, CA 95603

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Other Names 1

Former Name (1)Jessica L Smith

Other Providers at the Same Location NPPES 20

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

KIMBERLY OATES

Marriage & Family Therapist

1275 HIGH ST
AUBURN, CA 95603

Placer County (530) 264-8804

HOLLY KLEIN

Counselor

1275 HIGH ST
AUBURN, CA 95603

Placer County (530) 264-8804

JESSICA ROSE LANDRETH M.S.

Counselor (Mental Health)

1275 HIGH ST
AUBURN, CA 95603

Placer County (805) 234-6261

KATIE M MORONI

Marriage & Family Therapist

1275 HIGH ST
AUBURN, CA 95603

Placer County (530) 264-8804

MARIA SOL DIAZ

Marriage & Family Therapist

1275 HIGH ST
AUBURN, CA 95603

Placer County (530) 264-8804

DANIELLE THOMPSON

Marriage & Family Therapist

1275 HIGH ST
AUBURN, CA 95603

Placer County (530) 264-8804

JASON SIMS

Marriage & Family Therapist

1275 HIGH ST
AUBURN, CA 95603

Placer County (530) 264-8804

NICK KLEIN

Marriage & Family Therapist

1275 HIGH ST
AUBURN, CA 95603

Placer County (530) 264-8804

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 Jessica Deatherage's NPI number?

The NPI number for Jessica Deatherage is 1245046168. It was assigned to this individual provider in the NPPES registry on December 5, 2024. The provider is also known as Jessica L Smith.

Where is Jessica Deatherage located?

Jessica Deatherage practices at 1275 High St, Auburn, CA 95603. The listed phone number is (530) 264-8804.

What is Jessica Deatherage's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jessica Deatherage was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.