Active NPI
James Michael Minidis, B.S.
- Mental Health Counselor
- Irvine, CA
National Provider Identifier
1083769129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 42 Gentry
Irvine, CA 92620-2836 - Phone
- (571) 235-9045
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
42 Gentry
Irvine, CA 92620-2836
Mailing address
42 Gentry
Irvine, CA 92620
Phone (571) 235-9045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083769129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 GENTRY",
"city": "IRVINE",
"state": "CA",
"postal_code": "92620",
"telephone_number": "571-235-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 GENTRY",
"city": "IRVINE",
"state": "CA",
"postal_code": "926202836",
"telephone_number": "571-235-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINIDIS",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "B.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
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- Mind What Matters Family Therapy Corporation
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- Mingway Lee, DDS, Inc
- Minoo Dargah Psy D Psychology Inc
- Mint Optometry a Professional Corporation
- Minuteclinic Diagnostic Medical Group of Orange County Inc
- Minuteclinic Diagnostic Medical Group of Orange County Inc
- Minuteclinic Diagnostic Medical Group of Orange County Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.