Individual provider Active NPI

Jillian Leigh Dematte, PRS

  • Peer Specialist
  • Steubenville, OH
National Provider Identifier
1881445815
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
APS.004746 Issued in OH
Practice address
1010 N 6TH Ave
Steubenville, OH 43952-1846
Phone
(740) 283-4946
NPI assigned
Mar 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X APS.004746 OH Primary

Addresses

Primary practice location

1010 N 6TH Ave
Steubenville, OH 43952-1846

Mailing address

1010 N 6TH Ave
Steubenville, OH 43952-1846
Phone (740) 283-4946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APS.004746OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Recovery Center PastSince Mar 31, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1881445815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N 6TH AVE",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521846",
            "telephone_number": "740-283-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N 6TH AVE",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521846",
            "telephone_number": "740-283-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMATTE",
        "first_name": "JILLIAN",
        "middle_name": "LEIGH",
        "credential": "PRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.004746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.