Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275469538 Individual Practitioner Male Practitioner

Jerry Elijah Mcclellan

Peer Specialist • Hawthorne, CA

Professional Overview & Biography Verified Profile Summary

Jerry Mcclellan is a registered healthcare professional specializing in Peer Specialist in Hawthorne, CA. Practice services are available at 2501 W EL SEGUNDO BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2501 W El Segundo Blvd

Hawthorne, CA 902503317

Telephone 3237542816
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Hawthorne, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Hawthorne, CA (4567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-23
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License CA MPSS-JIFPUM

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jana Mccandless

Counselor - Addiction (Substance Use Disorder)

NPI 1023478948
Catherine Ybarra , MSW

Counselor - Addiction (Substance Use Disorder)

NPI 1063793321

Master of Social Work

Shane Mccrary

Case Manager/Care Coordinator

NPI 1104623396
Brenda Mendez

Counselor - Mental Health

NPI 1164071007
Christina Moine

Peer Specialist

NPI 1164378899
Karen Matulis

Counselor - Addiction (Substance Use Disorder)

NPI 1255843702

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 23, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2026

Registered at 2501 W EL SEGUNDO BLVD, HAWTHORNE, CA 902503317 (Tel: 3237542816)

📍
Updated Business Mailing Address June 23, 2026

Registered at 2501 W EL SEGUNDO BLVD, HAWTHORNE, CA 902503317 (Tel: 3237542816)

👤
Provider Name / Credentials Updated June 23, 2026

Recorded as JERRY MCCLELLAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2026

Peer Specialist (License #MPSS-JIFPUM in CA)

🟢
Initial NPI Registration & Enumeration June 23, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275469538
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2026
Last Update: June 23, 2026
Sole Proprietor: Yes

Mailing Address

2501 W El Segundo Blvd

Hawthorne, CA 902503317

Phone: 3237542816

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.