Active NPI
Kathryn Alyce Deyoung, LGMFT
- Marriage & Family Therapist
- Bethesda, MD
National Provider Identifier
1568030583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LGM821
- Practice address
- 5654 Shields Dr
Bethesda, MD 20817-3574 - Phone
- (571) 332-2004
- NPI assigned
- Jun 15, 2021
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LGM821 | MD | Primary |
Addresses
Primary practice location
5654 Shields Dr
Bethesda, MD 20817-3574
Mailing address
4228 River Rd NW Apt B
Washington, DC 20016-4526
Phone (571) 332-2004
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 |
|---|---|---|---|
| LGM821 | MD | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1568030583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4228 RIVER RD NW APT B",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164526",
"telephone_number": "571-332-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5654 SHIELDS DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208173574",
"telephone_number": "571-332-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEYOUNG",
"first_name": "KATHRYN",
"middle_name": "ALYCE",
"credential": "LGMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-15",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MD",
"license": "LGM821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.