Individual provider Active NPI

James W Johns, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1053859934
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13990 Issued in MN
Practice address
790 Cleveland Ave S Ste 207
Saint Paul, MN 55116
Phone
(651) 690-0953
NPI assigned
Feb 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13990 MN Primary

Addresses

Primary practice location

790 Cleveland Ave S Ste 207
Saint Paul, MN 55116

Mailing address

8646 Eagle Creek Cir Ste 213
Savage, MN 55378-1574
Phone (651) 219-1675

Other practice location 1

1675 Beam Ave Ste 101A
Beam Professional Building / HealthEast
Maplewood, MN 55109-1689
Phone (651) 232-3640

Other practice location 2

8646 Eagle Creek Cir Ste 213
Savage, MN 55378-1574
Phone (952) 583-1055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20170403002501 MN Practitioner - Clinical Social Worker 3779869870 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians

Practice addresses (Care Compare)

8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13990MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute Clinical CurrentSince Feb 9, 2017 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Schmidt Counseling Services, Inc. CurrentSince Nov 28, 2017 Accepting new patients
Healtheast Medical Research Institute CurrentSince Feb 9, 2017 Accepting new patients
Group Health Plan, Inc. CurrentSince Jul 2, 2018 Accepting new patients
Group Health, Inc. CurrentSince Jul 2, 2018 Accepting new patients
Group Health, Inc. Current Accepting new patients

Locations

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

8646 Eagle Creek Cir
Ste 213
Savage, MN 55378
Phone (952) 210-1779

Organizations & group practices 7

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": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1053859934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8646 EAGLE CREEK CIR STE 213",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553781574",
            "telephone_number": "651-219-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CLEVELAND AVE S STE 207",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55116",
            "telephone_number": "651-690-0953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1675 Beam Ave Ste 101A",
            "address_2": "Beam Professional Building / HealthEast",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551091689",
            "country_code": "US",
            "telephone_number": "651-232-3640",
            "fax_number": "651-326-7023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8646 Eagle Creek Cir Ste 213",
            "address_purpose": "LOCATION",
            "city": "Savage",
            "state": "MN",
            "postal_code": "553781574",
            "country_code": "US",
            "telephone_number": "952-583-1055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "JAMES",
        "middle_name": "W",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-10",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "13990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.