Active NPI
James M Patterson, LCSW
- Clinical Social Worker
- The Dalles, OR
National Provider Identifier
1003974395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L2986
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02 07 45 | Medicaid | OR | |
| 139670 | Medicaid | OR |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95 of 100
- Quality
- 83.34
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02 07 45 | OR | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| County of Skamania | Past | Accepting new patients | |
| Mid-Columbia Center for Living | Past | Accepting new patients | |
| Mid-Columbia Center for Living | Past | Accepting new patients | |
| Mid-Columbia Medical Center | Clinical | Past | Accepting new patients |
| Mid-Columbia Center for Living | Addiction (Substance Use Disorder) | Past | 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.
-
- Clinical Pathology Physician
- Hood River, OR
- NPI 1053862714
-
- Critical Access Hospital
- Hood River, OR
- NPI 1255429338
-
- Rural Health Clinic/Center
- Hood River, OR
- NPI 1073100095
-
- Community/Behavioral Health Agency
- The Dalles, OR
- NPI 1275954513
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- The Dalles, OR
- NPI 1699745794
Addiction (Substance Use Disorder)
-
- Community/Behavioral Health Agency
- Hood River, OR
- NPI 1831510155
-
- Community/Behavioral Health Agency
- Stevenson, WA
- NPI 1821175456
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.