MR. DEMETRIUS JERRELL SUDRC
NPI 1619701018
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

NPI Status: Active since August 28, 2024

Contact Information

6145 IMPERIAL AVE
SAN DIEGO, CA
ZIP 92114
Phone: (619) 234-8888

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  • Individual
  • Male
  • Counselor
  • Addiction (Substance Use Disorder)

About DEMETRIUS JERRELL

This page provides the complete NPI Profile along with additional information for Demetrius Jerrell, a provider established in San Diego, California with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1619701018 assigned on August 2024. The practitioner's primary taxonomy code is 101YA0400X with license number 19181 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1619701018
Provider Name
MR. DEMETRIUS JERRELL SUDRC
Gender
Male
Entity Type
Individual
Location Address
6145 IMPERIAL AVE SAN DIEGO, CA 92114
Location Phone
(619) 234-8888
Mailing Address
6145 IMPERIAL AVE SAN DIEGO, CA 92114
Mailing Phone
(619) 234-8888
Is Sole Proprietor?
No
Enumeration Date
08-28-2024
Last Update Date
08-28-2024
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A Substance Abuse or Addiction Counselor like Demetrius Jerrell advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers
License No.
19181
License State
CA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619701018, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 1 + 4 + 0 + 2 + 0 + 2 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1619701018.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Case Manager/Care Coordinator
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Marriage & Family Therapist
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Technician, Other
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Peer Specialist
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Behavior Technician
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Social Worker
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Community/Behavioral Health
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Technician, Other
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Counselor (Mental Health)
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Technician, Health Information
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Peer Specialist
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619701018, enumerated as an "individual" on August 28, 2024.

The provider is located at 6145 IMPERIAL AVE SAN DIEGO, CA 92114 and the phone number is (619) 234-8888.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).