Demetrius Jerrell, SUDRC
NPI 1619701018 · Addiction (Substance Use Disorder) Counselor · San Diego, CA
Demetrius Jerrell, SUDRC is a Addiction (Substance Use Disorder) Counselor provider in San Diego, CA (NPI 1619701018).
Provider details
- NPI number
- 1619701018
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- SUDRC
- Sex
- Male
- Sole proprietor
- No
- License
- 19181 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-08-28
- Last updated
- 2024-08-28
- Certified
- 2024-08-22
Frequently asked questions
- What is Demetrius Jerrell's NPI number?
- Demetrius Jerrell's National Provider Identifier (NPI) is 1619701018, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Demetrius Jerrell's specialty?
- Demetrius Jerrell is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Demetrius Jerrell located?
- Demetrius Jerrell's practice location on file with NPPES is 6145 Imperial Ave, San Diego, CA 92114-4213.
- What is Demetrius Jerrell's phone number?
- The practice phone number listed in the NPPES registry for Demetrius Jerrell is (619) 234-8888.
- Is Demetrius Jerrell's NPI active?
- Yes — Demetrius Jerrell's NPI (1619701018) is active in the NPPES registry as of the last update on 2024-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.