Individual provider Active NPI

Joseph Michael Ely, ACSW, CPRP

  • Mental Health Counselor
  • Lancaster, CA
National Provider Identifier
1134438153
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
506 W Jackman St
Lancaster, CA 93534-2531
Phone
(661) 579-8345
Fax
(661) 579-8324
NPI assigned
Sep 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

506 W Jackman St
Lancaster, CA 93534-2531

Mailing address

42151 Summer LN
Quartz Hill, CA 93536-3795
Phone (661) 361-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200723001775 CA Practitioner - Clinical Social Worker 8527482520 Practice locations: Palmdale, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

40645 Wimbledon CT
Palmdale, CA 93551-5727
Phone (661) 874-7851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1134438153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42151 SUMMER LN",
            "city": "QUARTZ HILL",
            "state": "CA",
            "postal_code": "935363795",
            "telephone_number": "661-361-9444",
            "fax_number": "661-579-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W JACKMAN ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342531",
            "telephone_number": "661-579-8345",
            "fax_number": "661-579-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELY",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "credential": "ACSW, CPRP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-27",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.