Individual provider Active NPI

Joel Kyulule

  • Counselor
  • Glendale, AZ
National Provider Identifier
1215329511
Registry record updated Feb 23, 2015
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective May 19, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
6605 N 93Rd Ave
Unit 1066
Glendale, AZ 85305-3115
Phone
(623) 877-8206
Fax
(623) 877-8992
NPI assigned
Feb 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

6605 N 93Rd Ave
Unit 1066
Glendale, AZ 85305-3115

Mailing address

6605 N 93Rd Ave
Unit 1066
Glendale, AZ 85305-3115
Phone (623) 877-8206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Residential Services,LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1215329511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 N 93RD AVE",
            "address_2": "UNIT 1066",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053115",
            "telephone_number": "623-877-8206",
            "fax_number": "623-877-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 N 93RD AVE",
            "address_2": "UNIT 1066",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053115",
            "telephone_number": "623-877-8206",
            "fax_number": "623-877-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYULULE",
        "first_name": "JOEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.