Individual provider Active NPI

Ejay Faralan

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1235761420
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1109 N Cass St Apt 404
Milwaukee, WI 53202-3366
Phone
(414) 323-2484
NPI assigned
Feb 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1109 N Cass St Apt 404
Milwaukee, WI 53202-3366

Mailing address

1109 N Cass St Apt 404
Milwaukee, WI 53202-3366
Phone (414) 323-2484

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ejay.faralan@faralancounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20230510002531 WI Practitioner - Clinical Social Worker 1254797624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

26422 Oakridge Dr
Suite 106
Wind Lake, WI 53185-1402
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Mar 29, 2023 Accepting new patients

Locations

10150 W National Ave
Ste 370
West Allis, WI 53227
Phone (262) 782-2090

26422 Oakridge Dr
Ste 106
Wind Lake, WI 53185

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": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772236800000",
    "number": "1235761420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 N CASS ST APT 404",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023366",
            "telephone_number": "414-323-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 N CASS ST APT 404",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023366",
            "telephone_number": "414-323-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARALAN",
        "first_name": "EJAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-06",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejay.faralan@faralancounseling.com",
            "affiliation": "N",
            "endpointDescription": "Faralan Counseling Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1109 N Cass St Apt 404",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532023366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.