MR. JOHN P ELY (NPI# 1124361571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124361571 |
Entity Type | Individual |
Full Name | MR. JOHN P ELY |
Credential | MFTI |
Practice Address |
6302 Thirteenth Ave Box 1024 Lucerne CA 95458-1024 |
Mailing Address |
9380 Paloos Ct Kelseyville CA 95451-7804 |
Practice Telephone | 7072749101 |
Mailing Telephone | 7072770848 |
Enumeration Date | 2013-04-04 |
Last Update Date | 2013-07-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 75046 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | INTERN- MARRIAGE AND FAMILY THERAPIST | 75046 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881032647 | John E Ely | Counselor | 529 W 25th Ave, Spokane, WA 99203-1809 | 2013-06-13 |
1356382048 | John Mark Ely | Optometrist | 869c John Marshall Hwy, Front Royal, VA 22630-4578 | 2006-06-10 |
1619929916 | John C. Ely | Family Medicine | 987400 Nebraska Medical Center, Omaha, NE 68198 | 2006-05-16 |
1295028918 | John Ely | Counselor | 127 S 5th Ave, Tucson, AZ 85701-2005 | 2011-05-27 |
1366438723 | John W Ely | Family Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-09-21 |
Street Address |
6302 THIRTEENTH AVE BOX 1024 |
City | LUCERNE |
State | CA |
Zip Code | 95458-1024 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215140066 | County of Lake | Community/Behavioral Health | 6302 Thirteenth Ave, Lucerne, CA 95458-1024 | 2007-05-08 |
1457863821 | Karen Macall | Case Manager/Care Coordinator | 6302 Thirteenth Ave, Lucerne, CA 95458 | 2017-10-25 |
1285180588 | Kelli Cosman | Counselor | 6302 Thirteenth Ave, Lucerne, CA 95458 | 2016-08-28 |
1548616089 | Jeffrey Shute | Technician, Other | 6302 Thirteenth Ave, Lucerne, CA 95458 | 2016-05-13 |
1861801151 | James William Isherwood IIi | Counselor | 6302 Thirteenth Ave, Lucerne, CA 95458 | 2014-08-12 |
1275722852 | Leroy Allen Fields | Counselor | 6302 Thirteenth Ave, Lucerne, CA 85458 | 2007-10-18 |
1720292329 | County of Lake | Community/Behavioral Health | 6302 Thirteenth Ave, Lucerne, CA 95458-1024 | 2007-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619527512 | Shawna Dee Theodorou | Case Manager/Care Coordinator | 6302 Thirteeth Ave, Lucerne, CA 95458 | 2019-09-13 |
1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
1750848396 | Catherine Denise Miller | Case Manager/Care Coordinator | 6302 13 Th Ave, Lucerne, CA 95458 | 2019-03-01 |
1043774193 | Priest Martinez | Counselor | 6300 E Hwy 20 Unit B, Lucerne, CA 95458 | 2019-01-23 |
1700308962 | Joao Adeles Barta | Case Manager/Care Coordinator | 6302 Thirteenth Av., Lucerne, CA 95458 | 2017-07-10 |
1154872737 | Deborah Annette Schmidt | Licensed Vocational Nurse | 6302 13th Ave., Lucerne, CA 95458 | 2016-10-19 |
1922496199 | Pearlina Drummond | Counselor | 3937 Foothill Drive, Lucerne, CA 95458 | 2014-12-22 |
1467881672 | Lucerne Elementary | Local Education Agency (LEA) | 3351 Country Club Drive, Lucerne, CA 95458 | 2013-11-07 |
1003245960 | Hilltop Recovery Services | Substance Abuse Rehabilitation Facility | 3937 Foothill Dr, Lucerne, CA 95458 | 2013-11-01 |
1053618652 | Chris Partida | Counselor | 6302 13th Ave, Lucerne, CA 95458 | 2011-02-16 |
Find all providers in zip 95458 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952452823 | Leslie Ann Wilson | Marriage & Family Therapist | 6134 E. Highway 20, Lucerne, CA 95458 | 2007-01-16 |
1184969800 | Annie P Barnes | Marriage & Family Therapist | 6302 13th Ave, Lucerne, CA 95458-6302 | 2012-12-06 |
1346545969 | Christina Marie Drukala | Marriage & Family Therapist | 6302 Thirteenth Avenue, Lucerne, CA 95458 | 2011-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508467291 | Jasmine Oganesyan | Marriage & Family Therapist | 29217 Flowerpark Dr, Santa Clarita, CA 91387-1807 | 2020-11-08 |
1760083463 | John Nelson | Marriage & Family Therapist | 4625 Mountain Lakes Blvd, Redding, CA 96003-1450 | 2020-11-08 |
1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
1760083679 | Heidi J Flanagan | Marriage & Family Therapist | 705 Sunrise Ave, D115, Roseville, CA 95661-6411 | 2020-11-06 |
1447851266 | Gloria Alice Lakin | Marriage & Family Therapist | 2720 Neilson Way # 5564, Santa Monica, CA 90405-4060 | 2020-11-06 |
1497356398 | Lourdes Loyola | Marriage & Family Therapist | 15720 Ventura Blvd Ste 603, Encino, CA 91436-4727 | 2020-11-06 |
1639770761 | Renee Lopez-delfino | Marriage & Family Therapist | 1244 Heatherstone Way, Sunnyvale, CA 94087-1537 | 2020-11-04 |
1346841558 | Jennifer Spiegel Aune | Marriage & Family Therapist | 810 College Ave Ste 1a, Kentfield, CA 94904-2565 | 2020-11-04 |
1225639495 | Bringing Medicine Culturally Competent Counseling and Indigenous | Marriage & Family Therapist | 206 Sacramento St Suite 212, Nevada, CA 95959 | 2020-11-04 |
1689275810 | Milestone Marriage and Family Therapy Services Professional Corporati | Marriage & Family Therapist | 10601 Civic Center Dr Ste 100a-d, Rancho Cucamonga, CA 91730-3878 | 2020-11-04 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.