JERRY LYNN MCELROY M.EDLISAC NPI 1164937603

NPI Information

NPI: 1164937603
Provider Name: JERRY LYNN MCELROY, M.ED,LISAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1830 S ALMA SCHOOL RD
MESA, AZ
ZIP 85210
Phone: (480) 649-3352
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Jerry Lynn Mcelroy, M.ED,LISAC is an addiction (substance use disorder) counselor in Mesa, AZ. Jerry Lynn Mcelroy, M.ED,LISAC NPI is 1164937603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1830 S ALMA SCHOOL RD
MESA, AZ
ZIP 85210-056
Phone: (480) 649-3352
Fax: (480) 649-3358

The enumeration date for this NPI number is 12/6/2017 and was last updated on 12/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	SA-1559	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SA-1559	OTHER	ARIZONA	AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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