Active NPI
Fidelson Joseph
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1841048485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1865 Hotel Cir S
San Diego, CA 92108-3319 - Phone
- (480) 388-6231
- NPI assigned
- May 8, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1865 Hotel Cir S
San Diego, CA 92108-3319
Mailing address
800 E Lexington Ave Apt 310
El Cajon, CA 92020-8706
Phone (480) 388-6231
Other practice location 1
1865 Hotel Cir S
San Diego, CA 92108-3319
Phone (480) 388-3261
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": "1715126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1841048485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E LEXINGTON AVE APT 310",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920208706",
"telephone_number": "480-388-6231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1865 HOTEL CIR S",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083319",
"telephone_number": "480-388-6231"
}
],
"practiceLocations": [
{
"address_1": "1865 Hotel Cir S",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921083319",
"country_code": "US",
"telephone_number": "480-388-3261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSEPH",
"first_name": "FIDELSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.