Active NPI
Dale R Deyoung, LCPC
- Mental Health Counselor
- Delray Beach, FL
National Provider Identifier
1508822883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC0205
- Practice address
- 7024 Cataluna Cir
Delray Beach, FL 33446-3100 - Phone
- (419) 615-1162
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC010232 | GA | |
| Mental Health Counselor | 101YM0800X | LC0205 | MD | Primary |
Addresses
Primary practice location
7024 Cataluna Cir
Delray Beach, FL 33446-3100
Mailing address
7024 Cataluna Cir
Delray Beach, FL 33446-3100
Phone (419) 615-1162
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 |
|---|---|---|---|
| LPC010232 | GA | MD | Mental Health Counselor |
| LC0205 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728777600000",
"number": "1508822883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7024 CATALUNA CIR",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334463100",
"telephone_number": "419-615-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7024 CATALUNA CIR",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334463100",
"telephone_number": "419-615-1162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEYOUNG",
"first_name": "DALE",
"middle_name": "R",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2024-10-13",
"certification_date": "2024-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC010232",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC0205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.