Drewe Dejesus
Counselor, Professional in Meridian, ID. Individual provider (NPI-1).
NPI number1982287579
StatusActive
Last updated in NPPESJul 25, 2025
Details
- NPI
- 1982287579
- Entity type
- Individual (NPI-1)
- Name
- Drewe Dejesus
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2021
- Certification date
- Jul 25, 2025
- Last updated
- Jul 25, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- Medicare opt-out
- Jun 23, 2026 to Jun 23, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 4201 | CA | Yes |
Practice location
4165 N Madden WayMeridian, ID 83646-1814
Phone 209-483-1559
Mailing address
4165 N Madden WayMeridian, ID 83646-1814
Phone 209-483-1559
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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