Younok Dumortier Shin

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00875600 Issued in NJ

Practice address

10 Route 31 N # 203
Pennington, NJ 08534-1606

Phone

(609) 267-5656

NPI assigned

Jun 18, 2025

Last updated

Aug 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Treatment Serivces, Inc.

  • Community/Behavioral Health Agency
  • Berlin, NJ
  • NPI 1265920466
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1609763200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 ROUTE 38",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362730",
            "telephone_number": "609-669-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ROUTE 31 N # 203",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341606",
            "telephone_number": "609-267-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMORTIER SHIN",
        "first_name": "YOUNOK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37AC00875600",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00875600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Robert Drames, D.O.
• Laura Duarte, CRNA
• Danielle Duda, AGNP-C
• Maya Katherine Dula, DO
• Deborah Dumont, L.C.S.W.
• Dungarvin New Jersey, LLC- Freedom Apt 103
• Dungarvin New Jersey, LLC- Freedom Apt 104
• Dungarvin New Jersey, LLC- Freedom Apt 105
• Deeca Joyceann Dunham, RN
• Sviatlana Dvorkina

• Mental Health Counselor in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.