Jay El Tillman
Jay El Tillman is a Addiction (Substance Use Disorder) Counselor provider (Counselor) practicing in Clearlake, CA, registered in the NPPES registry with NPI 1154501047 since 2007.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1154501047 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jay El Tillman |
| Sex | Male |
| Practice address | Clearlake, CA, 95422 |
| Phone | 7079953235 |
| Enumeration date | 2007-11-07 |
| Last updated in NPPES | 2007-11-07 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Primary | RS2684 | CA |
Copy-ready billing details
Provider: Jay Tillman NPI: 1154501047 Taxonomy: 101YA0400X (Addiction (Substance Use Disorder) Counselor) Address: Clearlake, CA, 95422
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205069796 | Judith Carroll | Individual | Addiction (Substance Use Disorder) Counselor | Clearlake, CA |
| 1457686339 | Janet Thomson | Individual | Addiction (Substance Use Disorder) Counselor | Clearlake, CA |
Verify this record
Cross-check NPI 1154501047 against the authoritative CMS record: view Jay El Tillman on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-11-07.