JEREMIAH J HATCHER NPI 1528574647

NPI Information

NPI: 1528574647
Provider Name: JEREMIAH J HATCHER
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
621 W MADRONE ST
ROSEBURG, OR
ZIP 97470
Phone: (541) 672-1761
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Jeremiah J Hatcher is a mental health counselor in Roseburg, OR. Jeremiah J Hatcher NPI is 1528574647. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

621 W MADRONE ST
ROSEBURG, OR
ZIP 97470-090
Phone: (541) 672-1761

The NPI 1528574647 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/27/2017 and was last updated on 1/13/2021.

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
1	101Y00000X	Counselor		60826827	WASHINGTON	No
2	101YM0800X	Counselor	Mental Health		OREGON	Yes
3	101YP2500X	Counselor	Professional	C5994	OREGON	No

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
1	2107612	MEDICAID	WASHINGTON

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: 4/28/2024

NPI Synchronization or Removal

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