MS. JADE RACHAEL DEPUE LPC NPI 1316391097

NPI Information

  • NPI: 1316391097
  • Provider Name: MS. JADE RACHAEL DEPUE, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 925 MADISON STREET
    JEFFERSON CITY, MO
    ZIP 65101
  • Phone: (573) 634-3432

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NPI Details

MS. Jade Rachael Depue, LPC is a mental health counselor in Jefferson City, MO. MS. Jade Rachael Depue, LPC NPI is 1316391097. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

925 MADISON STREET
JEFFERSON CITY, MO
ZIP 65101
Phone: (573) 634-3432
Fax: (636) 898-0951

The enumeration date for this NPI number is 4/19/2016 and was last updated on 10/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health2016011184MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1490031448MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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