Jerry Lynn McElroy, M.ED,LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

SA-1559 Issued in AZ

Practice address

1830 S Alma School Rd
Mesa, AZ 85210-3056

Phone

(480) 649-3352

Fax

(480) 649-3358

NPI assigned

Dec 6, 2017

Last updated

Dec 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1164937603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 W ELECTRA LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853103637",
            "telephone_number": "480-544-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103056",
            "telephone_number": "480-649-3352",
            "fax_number": "480-649-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "JERRY",
        "middle_name": "LYNN",
        "credential": "M.ED,LISAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "SA-1559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS",
            "identifier": "SA-1559",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisa McDowell, SLP-CFY
• Walter William McEarchern, M.D.
• William D McElfresh, LPC0765
• Lucille K McElrath, FNP
• Brian McElroy
• Erin McElwain, SLP0
• Whitney McFall
• Lori Beth McFann, MD
• Amanda McFarlane
• Joann McFee

• Addiction (Substance Use Disorder) Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.