JAY DEITERS
NPI 1104207042
Psychologist - Counseling in Lexington, KY

NPI Status: Active since June 16, 2015

Contact Information

1101 VETERANS DR
LEXINGTON, KY
ZIP 40502
Phone: (859) 233-4511

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  • Individual
  • Male
  • Psychologist
  • Counseling
  • PECOS Enrolled

About JAY DEITERS

This page provides the complete NPI Profile along with additional information for Jay Deiters, a provider established in Lexington, Kentucky with a medical specialization in Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1104207042 assigned on June 2015. The practitioner's primary taxonomy code is 103TC1900X with license number PSYPST00213906 (KY). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1104207042
Provider Name
JAY DEITERS
Gender
Male
Entity Type
Individual
Location Address
1101 VETERANS DR LEXINGTON, KY 40502
Location Phone
(859) 233-4511
Mailing Address
1101 VETERANS DR LEXINGTON, KY 40502
Is Sole Proprietor?
No
Enumeration Date
06-16-2015
Last Update Date
06-16-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Counseling

Taxonomy Code
103TC1900X
Type
Behavioral Health & Social Service Providers
License No.
PSYPST00213906
License State
KY
Taxonomy Description
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Medicare Participation & PECOS Enrollment Status

Jay Deiters is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104207042
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104401408
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 4 + 0 + 1 + 4 + 0 + 8 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1104207042 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548266026DR. JON STANLEY DEMOS MD
Individual
Urology1101 VETERANS DR RM A509A-CDD
LEXINGTON, KY 40502
(859) 281-4964
1144281502 RAYUDU B POLISETTY M.D.
Individual
Radiology (Diagnostic Radiology)1101 VETERANS DR
LEXINGTON, KY 40502
(859) 233-4511
1629031174MS. PATRICIA GOULD MCMINN PT
Individual
Physical Therapist1101 VETERANS DR
LEXINGTON, KY 40502
(859) 233-4511
1104889112MR. MICHAEL KEVIN GAMBREL PT
Individual
Physical Therapist1101 VETERANS DR
LEXINGTON, KY 40502
(859) 281-5205
1467415588MS. ANNA B DUNCAN MS, OTR/L
Individual
Occupational Therapist1101 VETERANS DR
LEXINGTON, KY 40502
(859) 233-4511
1194788240 BRAD CARY RANTA P.T.
Individual
Physical Therapist1101 VETERANS DR
LEXINGTON, KY 40502
(859) 281-4926
1609839604MS. MARY SACCHET GRAY MS
Individual
Speech-Language Pathologist1101 VETERANS DR
LEXINGTON, KY 40502
(859) 281-4972
1346203130MRS. LYN R TINDALL M.S.
Individual
Speech-Language Pathologist1101 VETERANS DR
LEXINGTON, KY 40502
(859) 233-4511
1043273733 MICHELE RITCHEY SMILEY PT
Individual
Physical Therapist1101 VETERANS DR
LEXINGTON, KY 40502
(859) 233-4511
1134182991 JILL RENEE JOHNSON PHARMD
Individual
Pharmacist (Pharmacotherapy)1101 VETERANS DR PHARMACY SERVICE #119-CDD
LEXINGTON, KY 40502
(859) 233-4511
1144283995DR. MATTHEW LANE PHARM.D.
Individual
Pharmacist (Pharmacotherapy)1101 VETERANS DR CD-119
LEXINGTON, KY 40502
(859) 233-4511
1821052457DR. JENNIFER L BROACH PH.D.
Individual
Psychologist (Clinical)1101 VETERANS DR VA MEDICAL CENTER (116A4-LD)
LEXINGTON, KY 40502
(859) 281-3817
1720042443MS. SHERRI REFFETT OTR/L
Individual
Occupational Therapist1101 VETERANS DR
LEXINGTON, KY 40502
(859) 233-4511
1235193699 MARY CAROLINE JOHNSON M.A.
Individual
Speech-Language Pathologist1101 VETERANS DR 126-CDD
LEXINGTON, KY 40502
(859) 281-4972
1871557173DR. ADRIENNE WINKLER MATSON PHARM.D.
Individual
Pharmacist (Pharmacotherapy)1101 VETERANS DR
LEXINGTON, KY 40502
(859) 233-4511
1417911454 JEFFREY SCOTT HEALANDER OTR/L
Individual
Occupational Therapist1101 VETERANS DR
LEXINGTON, KY 40502
(859) 233-4511
1801850979DR. DANIEL PAUL REESE M.D.
Individual
Anesthesiology1101 VETERANS DR ANESTHESIOLOGY DEPT
LEXINGTON, KY 40502
(859) 281-4906
1164486056MS. TARA LATZO HOWELL OTL
Individual
Occupational Therapist1101 VETERANS DR
LEXINGTON, KY 40502
(859) 233-4511
1124082946DR. COURTNEY LYNN COOPER AUD
Individual
Audiologist1101 VETERANS DR
LEXINGTON, KY 40502
(859) 281-4972
1659336162DR. JAMIE B KNIGHT PHARM.D.
Individual
Pharmacist (Pharmacotherapy)1101 VETERANS DR PHARMACY DEPT (CD-119)
LEXINGTON, KY 40502
(859) 233-4511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104207042, enumerated in the NPI registry as an "individual" on June 16, 2015

The provider is located at 1101 Veterans Dr Lexington, Ky 40502 and the phone number is (859) 233-4511

The provider's speciality is Psychologist with taxonomy code 103TC1900X with a focus in Counseling

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on June 16, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.