Active NPI
Darryl Elow
- Pastoral Counselor
- Dorchester, MA
National Provider Identifier
1487897054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- Practice address
- 22 Elm Hill Ave
Dorchester, MA 02121-1721 - Phone
- (617) 230-7132
- Fax
- (617) 718-2724
- NPI assigned
- Apr 13, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | MA | Primary |
Addresses
Primary practice location
22 Elm Hill Ave
Dorchester, MA 02121-1721
Mailing address
22 Elm Hill Avenue
Roxbury, MA 02121
Phone (617) 230-7132
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239580800000",
"number": "1487897054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 ELM HILL AVENUE",
"city": "ROXBURY",
"state": "MA",
"postal_code": "02121",
"telephone_number": "617-230-7132",
"fax_number": "617-718-2724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 ELM HILL AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021211721",
"telephone_number": "617-230-7132",
"fax_number": "617-718-2724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELOW",
"first_name": "DARRYL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-13",
"last_updated": "2009-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.