Active NPI
Demar Young, M.ED/ CAMF/CDVF
- Mental Health Counselor
- Temecula, CA
National Provider Identifier
1013410679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 43537 Ridge Park Dr
Temecula, CA 92590-3615 - Phone
- (623) 202-8810
- NPI assigned
- Mar 9, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
43537 Ridge Park Dr
Temecula, CA 92590-3615
Mailing address
43537 Ridge Park Dr
Temecula, CA 92590-3615
Phone (623) 202-8810
Other practice location 1
8880 Rio San Diego Dr Ste 800
San Diego, CA 92108-1642
Phone (196) 335-8106
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doy LLC | Mental Health | Current | Accepting new patients |
| Young Services LLC | Counselor | Current | Accepting new patients |
Locations
7317 El Cajon Blvd
Ste 122
La Mesa, CA 91942
41690 Ivy St
Murrieta, CA 92562
Phone (323) 638-7660
43537 Ridge Park Dr
Temecula, CA 92590
Phone (623) 202-8810
Organizations & group practices 2
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": "1520553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1013410679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43537 RIDGE PARK DR",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925903615",
"telephone_number": "623-202-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43537 RIDGE PARK DR",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925903615",
"telephone_number": "623-202-8810"
}
],
"practiceLocations": [
{
"address_1": "8880 Rio San Diego Dr Ste 800",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921081642",
"country_code": "US",
"telephone_number": "196-335-8106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "DEMAR",
"name_prefix": "Mr.",
"credential": "M.ED/ CAMF/CDVF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-09",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.