Active NPI
Adele Marie Yuth, LASAC
- Addiction (Substance Use Disorder) Counselor
- Hemet, CA
National Provider Identifier
1164060539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 15190
- Practice address
- 39990 Faure Rd
Hemet, CA 92544-9408 - Phone
- (951) 708-4019
- Fax
- (951) 767-9820
- NPI assigned
- Dec 17, 2019
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15190 | AZ | Primary |
Addresses
Primary practice location
39990 Faure Rd
Hemet, CA 92544-9408
Mailing address
PO Box 2748
Hemet, CA 92546-2748
Phone (951) 708-4019
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15190 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1164060539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2748",
"city": "HEMET",
"state": "CA",
"postal_code": "925462748",
"telephone_number": "951-708-4019",
"fax_number": "951-767-9820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39990 FAURE RD",
"city": "HEMET",
"state": "CA",
"postal_code": "925449408",
"telephone_number": "951-708-4019",
"fax_number": "951-767-9820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUTH",
"first_name": "ADELE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LASAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-17",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "15190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.