MR. JOHN P ELY


Address: 6302 Thirteenth Ave, Box 1024, Lucerne, CA 95458-1024
Phone: 7072749101

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 75046 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA INTERN- MARRIAGE AND FAMILY THERAPIST 75046 01

Other Providers JOHN ELY

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1881032647 John E Ely Counselor 529 W 25th Ave, Spokane, WA 99203-1809 2013-06-13
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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

Office Location

Street Address 6302 THIRTEENTH AVE
BOX 1024
City LUCERNE
State CA
Zip Code 95458-1024

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City LUCERNE
Zip Code 95458

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Dataset Information

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.

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