JERRY JULIAN JEROME PRIMM CADC I
NPI 1396679858
Counselor - Addiction (Substance Use Disorder) in Huntington Beach, CA

Active since June 10, 2026
16168 BEACH BLVD STE 100, HUNTINGTON BEACH, CA 92647(714) 312-3099 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry Julian Jerome Primm Cadc I NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY JULIAN JEROME PRIMM CADC I (NPI 1396679858) is an individual addiction (substance use disorder) provider in Huntington Beach, California, licensed in California (AII053620326) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1396679858
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJERRY JULIAN JEROME PRIMMCredential: CADC I
Location Address16168 BEACH BLVD STE 100Huntington Beach, CA 92647-3872
Mailing Address16168 Beach Blvd Ste 100Huntington Beach, CA 92647-3872 · (714) 312-3099
Sole ProprietorYes
Enumeration DateJune 10, 2026
NPPES CertifiedJune 10, 2026
NPI 1396679858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · AII053620326
16168 BEACH BLVD STE 100, Huntington Beach, CA 92647

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
16168 BEACH BLVD STE 100
HUNTINGTON BEACH, CA 92647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Primm's NPI number?

The NPI number for Jerry Primm is 1396679858. It was assigned to this individual provider in the NPPES registry on June 10, 2026.

Where is Jerry Primm located?

Jerry Primm practices at 16168 Beach Blvd Ste 100, Huntington Beach, CA 92647. The listed phone number is (714) 312-3099.

What is Jerry Primm's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jerry Primm was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.