Active NPI
Jonathan Deiches
- Counselor
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 625 W Washington Ave
Madison, WI 53703-2637 - Phone
- (608) 280-2700
- NPI assigned
- Feb 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
625 W Washington Ave
Madison, WI 53703-2637
Mailing address
625 W Washington Ave
Madison, WI 53703-2637
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdeiches42805@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865
156 Health Care LN
Martinsburg, WV 25401-4009
Phone (304) 596-5038
2004 Professional CT
Martinsburg, WV 25401-8808
Phone (304) 596-5780
2008 Professional CT
Martinsburg, WV 25401-8808
Phone 3042935033299
Hospital & facility affiliations
- Berkeley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Healthcare Physicians Inc | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| University Healthcare Physicians, Inc. | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients |
Locations
2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436
2004 Professional Ct
Martinsburg, WV 25401
Phone (304) 263-8964
1001 Sushruta Dr
Ste 100
Martinsburg, WV 25401
Phone (304) 596-5038
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
Interoperability endpoints
- jdeiches42805@direct.wvuhsdirect.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Family Medicine Physician
- Martinsburg, WV
- NPI 1659625739
-
- Anesthesiology Physician
- Martinsburg, WV
- NPI 1417371329
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1104123959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 W WASHINGTON AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537032637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 W WASHINGTON AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537032637",
"telephone_number": "608-280-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEICHES",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-14",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdeiches42805@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2004 Professional Ct",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "254018808",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.