Active NPI
Myel Joy, L.C.S.W.
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1396768271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCS19179
- Practice address
- 4550 Kearny Villa Rd
Suite 116
San Diego, CA 92123-1578 - Phone
- (858) 279-1223
- Fax
- (619) 293-3365
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19179 | CA | |
| Mental Health Counselor | 101YM0800X | LCS19179 | CA | Primary |
Addresses
Primary practice location
4550 Kearny Villa Rd
Suite 116
San Diego, CA 92123-1578
Mailing address
4550 Kearny Villa Rd
Suite 116
San Diego, CA 92123-1578
Phone (858) 279-1223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS19179 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1396768271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 KEARNY VILLA RD",
"address_2": "SUITE 116",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231578",
"telephone_number": "858-279-1223",
"fax_number": "619-293-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 KEARNY VILLA RD",
"address_2": "SUITE 116",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231578",
"telephone_number": "858-279-1223",
"fax_number": "619-293-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOY",
"first_name": "MYEL",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "19179",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCS19179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.