Individual provider Active NPI

James Andrew Carpenter, LMSW

  • Social Worker
  • Meridian, ID
National Provider Identifier
1053626085
Registry record updated Aug 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2950 E Magic View Dr
Suite 140
Meridian, ID 83642-3154
Phone
(208) 794-6455
NPI assigned
Aug 14, 2010
Last updated
Aug 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ID Primary

Addresses

Primary practice location

2950 E Magic View Dr
Suite 140
Meridian, ID 83642-3154

Mailing address

2950 E Magic View Dr
Suite 140
Meridian, ID 83642-3154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20140807000614 ID Practitioner - Clinical Social Worker 4789866856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Neurobehavioral Health LLCGroup PAC ID 0446432512, 9 clinicians

Practice addresses (Care Compare)

2463 E Gala St
Suite 100
Meridian, ID 83642-5210
Phone (208) 955-7333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Neurobehavioral Health, LLC Social Worker CurrentSince Jun 3, 2014 Accepting new patients

Locations

2463 E Gala St
Meridian, ID 83642
Phone (208) 908-1881

2463 E Gala St
Ste 100
Meridian, ID 83642
Phone (208) 955-7333

2950 E Magic View Dr
Ste 140
Meridian, ID 83642
Phone (208) 955-7333

2965 E Tarpon Dr
Ste 150
Meridian, ID 83642
Phone 2082879420110

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1281744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281744000000",
    "number": "1053626085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 E MAGIC VIEW DR",
            "address_2": "SUITE 140",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E MAGIC VIEW DR",
            "address_2": "SUITE 140",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423154",
            "telephone_number": "208-794-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "JAMES",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-14",
        "last_updated": "2010-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.