Active NPI
Drewe Dejesus
- Professional Counselor
- Meridian, ID
National Provider Identifier
1982287579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4201
- Practice address
- 4165 N Madden Way
Meridian, ID 83646-1814 - Phone
- (209) 483-1559
- NPI assigned
- Apr 30, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4201 | CA | Primary |
Addresses
Primary practice location
4165 N Madden Way
Meridian, ID 83646-1814
Mailing address
4165 N Madden Way
Meridian, ID 83646-1814
Phone (209) 483-1559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 23, 2026 through Jun 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4201 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1982287579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4165 N MADDEN WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836461814",
"telephone_number": "209-483-1559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4165 N MADDEN WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836461814",
"telephone_number": "209-483-1559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJESUS",
"first_name": "DREWE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-30",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "4201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.