Active NPI
Ron G Deming, MFT
- Mental Health Counselor
- Spring Valley, CA
National Provider Identifier
1376419507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 121092
- Practice address
- 9565 Bray Ave
Spring Valley, CA 91977-2822 - Phone
- (619) 403-4914
- NPI assigned
- Oct 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 121092 | CA | Primary |
Addresses
Primary practice location
9565 Bray Ave
Spring Valley, CA 91977-2822
Mailing address
9565 Bray Ave
Spring Valley, CA 91977-2822
Phone (619) 403-4914
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 |
|---|---|---|---|
| 121092 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1376419507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9565 BRAY AVE",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919772822",
"telephone_number": "619-403-4914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9565 BRAY AVE",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919772822",
"telephone_number": "619-403-4914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMING",
"first_name": "RON",
"middle_name": "G",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-14",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "121092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.