Individual provider Active NPI

James M Patterson, LCSW

  • Clinical Social Worker
  • The Dalles, OR
National Provider Identifier
1003974395
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L2986 Issued in OR
Practice address
119 E 2ND St
#208
The Dalles, OR 97058-1796
Phone
(541) 298-5000
Fax
(541) 296-3296
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 02 07 45 OR
Clinical Social Worker 1041C0700X L2986 OR Primary

Addresses

Primary practice location

119 E 2ND St
#208
The Dalles, OR 97058-1796

Mailing address

PO Box 1688
Hood River, OR 97031-0688
Phone (541) 298-5000

Other identifiers 2

IdentifierTypeStateIssuer
02 07 45MedicaidOR
139670MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050117000389 OR Practitioner - Clinical Social Worker 5496704462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
83.34
Promoting interoperability
100
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02 07 45ORMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince Oct 5, 2019 Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 5, 2019 Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 5, 2019 Accepting new patients
County of Skamania Past Accepting new patients
Mid-Columbia Center for Living Past Accepting new patients
Mid-Columbia Center for Living PastSince Jun 15, 2021 Accepting new patients
Mid-Columbia Medical Center Clinical Past Accepting new patients
Mid-Columbia Center for Living Addiction (Substance Use Disorder) PastSince Sep 2, 2014 Accepting new patients

Locations

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1003974395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1688",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970310688",
            "telephone_number": "541-298-5000",
            "fax_number": "541-296-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E 2ND ST",
            "address_2": "#208",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970581796",
            "telephone_number": "541-298-5000",
            "fax_number": "541-296-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "02 07 45",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02 07 45",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139670",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

Verify at the official NPI Registry.