JAY EL TILLMAN
NPI 1154501047
Counselor - Addiction (Substance Use Disorder) in Clearlake, CA

Q: What is Jay Tillman's NPI number?

The NPI number for Jay Tillman is 1154501047. It was assigned to this individual provider in the NPPES registry on November 7, 2007.

Q: What is Jay Tillman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jay Tillman was last updated on November 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 07, 2007

6885 OLD HWY 53, CLEARLAKE, CA 95422(707) 995-3235 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jay El Tillman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY EL TILLMAN (NPI 1154501047) is an individual addiction (substance use disorder) provider in Clearlake, California, licensed in California (RS2684) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1154501047

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameJAY EL TILLMAN

Location Address6885 OLD HWY 53Clearlake, CA 95422

Mailing Address6840 S Center DrClearlake, CA 95422-8134 · (707) 995-1232

Phone(707) 995-3235

Sole ProprietorYes

Enumeration DateNovember 7, 2007

✔ NPI 1154501047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · RS2684

6885 OLD HWY 53, Clearlake, CA 95422

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JUDITH ANN CARROLL RI-C0908210706

Counselor (Addiction (Substance Use Disorder))

6885 OLD HWY 53
CLEARLAKE, CA 95422

Lake County (707) 995-3235

JANET LYNN THOMSON RRW- 0106

Counselor (Addiction (Substance Use Disorder))

6885 OLD HWY 53
CLEARLAKE, CA 95422

Lake County (707) 995-3235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Tillman's NPI number?

The NPI number for Jay Tillman is 1154501047. It was assigned to this individual provider in the NPPES registry on November 7, 2007.

Where is Jay Tillman located?

Jay Tillman practices at 6885 Old Hwy 53, Clearlake, CA 95422. The listed phone number is (707) 995-3235.

What is Jay Tillman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jay Tillman was last updated on November 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.