Individual provider Active NPI

Joseph S Ayoub, LCSW, LCDC

  • Clinical Social Worker
  • El Paso, TX
National Provider Identifier
1427325307
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
60908 Issued in TX
Practice address
1155 Westmoreland Dr Ste 215
El Paso, TX 79925-5623
Phone
(915) 201-0702
NPI assigned
Nov 21, 2011
Last updated
Aug 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-09031 NM
Clinical Social Worker 1041C0700X 60908 TX Primary

Addresses

Primary practice location

1155 Westmoreland Dr Ste 215
El Paso, TX 79925-5623

Mailing address

1155 Westmoreland Dr Ste 215
El Paso, TX 79925-5623
Phone (915) 201-0702

Other practice location 1

880 Anthony Dr
Ste 8A
Anthony, NM 88021-9346
Phone (575) 201-5136

Other identifiers 1

IdentifierTypeStateIssuer
74481MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170327000426 TX Practitioner - Clinical Social Worker 4385949155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1155 Westemoreland Dr
Suite 215
El Paso, TX 79925-5623
Phone (915) 201-0702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60908TXMDPsychiatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Counseling Center of Expressive Arts PC CurrentSince Jan 1, 2017 Accepting new patients
A Better Place for Therapy Clinical CurrentSince Nov 11, 2020 Accepting new patients

Locations

1155 Westmoreland Dr
Ste 215
El Paso, TX 79925
Phone (806) 568-3111

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1427325307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 WESTMORELAND DR STE 215",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255623",
            "telephone_number": "915-201-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 WESTMORELAND DR STE 215",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255623",
            "telephone_number": "915-201-0702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 Anthony Dr",
            "address_2": "Ste 8A",
            "address_purpose": "LOCATION",
            "city": "Anthony",
            "state": "NM",
            "postal_code": "880219346",
            "country_code": "US",
            "telephone_number": "575-201-5136",
            "fax_number": "575-201-5141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYOUB",
        "first_name": "JOSEPH",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LCSW, LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-21",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09031",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74481",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.