Jade Lindsey Deerhake, CPRS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCAPRE.195732 Issued in OH

Practice address

3000 Elida Rd Ste 2
Lima, OH 45805-1232

Phone

(419) 813-8009

Fax

(419) 597-5051

NPI assigned

Jun 18, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sequoia Wellness Center LLC

  • Professional Counselor
  • Lima, OH
  • NPI 1962239921
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1548156144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ELIDA RD STE 2",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051232",
            "telephone_number": "419-813-8009",
            "fax_number": "419-597-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ELIDA RD STE 2",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051232",
            "telephone_number": "419-813-8009",
            "fax_number": "419-597-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEERHAKE",
        "first_name": "JADE",
        "middle_name": "LINDSEY",
        "credential": "CPRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.006377",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCAPRE.195732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Champion DDS Inc
• Raymond Enrique Decanio, M.D.
• Rogelio R Decanio, MD
• Jamie Declercq, LISW-SUPV
• Angela Dene Deeds
• Mary Deeter, CRNA
• Matthew Defalco
• Cameran C Deffenbaugh
• Melissa Nichole Delong, CNP
• James Bradley Demore, DPM

• Addiction (Substance Use Disorder) Counselor in Lima, OH
• Providers in Lima, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.