Active NPI
Joseph Martin Goryl, MA, LPC, LMSW
- Clinical Social Worker
- Sandusky, MI
National Provider Identifier
1427239086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801016434
- Practice address
- 119 E Sanilac Rd
Suite #3
Sandusky, MI 48471-1184 - Phone
- (810) 648-4303
- Fax
- (810) 648-2988
- NPI assigned
- Nov 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401004005 | MI | |
| Clinical Social Worker | 1041C0700X | 6801016434 | MI | Primary |
Addresses
Primary practice location
119 E Sanilac Rd
Suite #3
Sandusky, MI 48471-1184
Mailing address
119 E Sanilac Rd
Suite #3
Sandusky, MI 48471-1184
Phone (810) 648-4303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080719000035 | MI | Practitioner - Clinical Social Worker | 1850464132 | Practice locations: Sandusky, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
119 E Sanilac Rd
Suite 3
Sandusky, MI 48471-1184
Phone (810) 648-4303
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401004005 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195776000000",
"number": "1427239086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 E SANILAC RD",
"address_2": "SUITE #3",
"city": "SANDUSKY",
"state": "MI",
"postal_code": "484711184",
"telephone_number": "810-648-4303",
"fax_number": "810-648-2988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 E SANILAC RD",
"address_2": "SUITE #3",
"city": "SANDUSKY",
"state": "MI",
"postal_code": "484711184",
"telephone_number": "810-648-4303",
"fax_number": "810-648-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORYL",
"first_name": "JOSEPH",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "MA, LPC, LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-23",
"last_updated": "2007-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401004005",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801016434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandusky, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.