Active NPI
Jay Charles Wheeler
- Addiction (Substance Use Disorder) Counselor
- Los Angeles, CA
National Provider Identifier
1831734672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 13418-R
- Practice address
- 307 S Central Ave
Los Angeles, CA 90013-1709 - Phone
- (323) 541-6176
- NPI assigned
- Nov 15, 2019
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13418-R | CA | Primary |
Addresses
Primary practice location
307 S Central Ave
Los Angeles, CA 90013-1709
Mailing address
8149 Santa Monica Blvd # 433
West Hollywood, CA 90046-4912
Phone (323) 541-6176
Other practice location 1
18646 Oxnard St
Tarzana, CA 91356-1411
Phone (818) 927-6246
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13418-R | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1831734672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8149 SANTA MONICA BLVD # 433",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900464912",
"telephone_number": "323-541-6176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 S CENTRAL AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131709",
"telephone_number": "323-541-6176"
}
],
"practiceLocations": [
{
"address_1": "18646 Oxnard St",
"address_purpose": "LOCATION",
"city": "Tarzana",
"state": "CA",
"postal_code": "913561411",
"country_code": "US",
"telephone_number": "818-927-6246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHEELER",
"first_name": "JAY",
"middle_name": "CHARLES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-15",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "13418-R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.