Individual provider Active NPI

James B Pfeiffer, LCSW

  • Clinical Social Worker
  • Corpus Christi, TX
National Provider Identifier
1063566701
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16509 Issued in TX
Practice address
4455 S Padre Island Dr
Suite 101
Corpus Christi, TX 78411-5101
Phone
(361) 814-2273
Fax
(361) 814-2274
NPI assigned
Jan 22, 2007
Last updated
Apr 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16509 TX Primary
Marriage & Family Therapist 106H00000X 3723 TX

Addresses

Primary practice location

4455 S Padre Island Dr
Suite 101
Corpus Christi, TX 78411-5101

Mailing address

PO Box 61274
Corpus Christi, TX 78466-1274
Phone (361) 814-2273

Other identifiers 2

IdentifierTypeStateIssuer
00S10TOtherTXBCBS IDENTIFIER NUMBER
119744403MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160223000456 TX Practitioner - Clinical Social Worker 3870898232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aaverlee Clinical AssociatesGroup PAC ID 2264844687, 2 clinicians

Practice addresses (Care Compare)

4455 S Padre Island Dr
Suite 101
Corpus Christi, TX 78411-5125
Phone (361) 814-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3723TXMDMarriage & Family Therapist
16509TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aaverlee Clinical Associates Clinical CurrentSince Nov 18, 2020 Accepting new patients
Aaverlee Clinical Associates Current Accepting new patients

Locations

4455 S Padre Island Dr
Ste 101
Corpus Christi, TX 78411
Phone (361) 814-2273

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1063566701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61274",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661274",
            "telephone_number": "361-814-2273",
            "fax_number": "361-814-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR",
            "address_2": "SUITE 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115101",
            "telephone_number": "361-814-2273",
            "fax_number": "361-814-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFFER",
        "first_name": "JAMES",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "16509",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "3723",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IDENTIFIER NUMBER",
            "identifier": "00S10T",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119744403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.