Active NPI
James W. Harriman, M.S. (PSYCH)
- Clinical Social Worker
- Sheboygan, WI
National Provider Identifier
1053435495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1543-123
- Practice address
- 805 N 6TH St
Sheboygan, WI 53081-4113 - Phone
- (920) 457-8866
- Fax
- (920) 457-8867
- NPI assigned
- Mar 19, 2007
- Last updated
- May 3, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1543-123 | WI | |
| Clinical Social Worker | 1041C0700X | 1543-123 | WI | Primary |
Addresses
Primary practice location
805 N 6TH St
Sheboygan, WI 53081-4113
Mailing address
805 N 6TH St
Sheboygan, WI 53081-4113
Phone (920) 457-8866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 3, 2024 through Jan 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1543-123 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Clinic LLC | Current | Accepting new patients | |
| Life Point Counseling, LLC | Past | Accepting new patients |
Locations
805 N 6th St
Sheboygan, WI 53081
Phone (920) 457-8866
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Sheboygan, WI
- NPI 1154675924
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Plymouth, WI
- NPI 1407097371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1053435495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 N 6TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530814113",
"telephone_number": "920-457-8866",
"fax_number": "920-457-8867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 N 6TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530814113",
"telephone_number": "920-457-8866",
"fax_number": "920-457-8867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIMAN",
"first_name": "JAMES",
"middle_name": "W.",
"credential": "M.S. (PSYCH)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "1543-123",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "1543-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.