Individual provider Active NPI

James Robert Buchholz, LCSW

  • Clinical Social Worker
  • Arlington HTS, IL
National Provider Identifier
1104903327
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149001756 Issued in IL
Practice address
637 E Golf Rd
Suite # 210
Arlington HTS, IL 60005-4967
Phone
(847) 228-6440
Fax
(847) 359-8820
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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 149001756 IL Primary

Addresses

Primary practice location

637 E Golf Rd
Suite # 210
Arlington HTS, IL 60005-4967

Mailing address

637 E Golf Rd
Suite # 210
Arlington HTS, IL 60005-4967
Phone (847) 228-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20110217000700 IL Practitioner - Clinical Social Worker 8325229727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Care Consultants PCGroup PAC ID 5890983076, 4 clinicians
Lake Cook Psychologists and Counseling AssociatesGroup PAC ID 4183638943, 8 clinicians

Practice addresses (Care Compare)

1642 W Colonial Pkwy
Unit 100
Inverness, IL 60067-4725
Phone (847) 749-0514

3345 N Arlington Heights Rd
Suite E
Arlington HTS, IL 60004-1591
Phone (847) 577-1501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake-Cook Psychologists and Counseling Associates CurrentSince Jun 21, 2023 Accepting new patients

Locations

3345 N Arlington Heights Rd
Ste E
Arlington Heights, IL 60004

1525 E 53rd St
Ste 424
Chicago, IL 60615
Phone (773) 556-3509

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1104903327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 E GOLF RD",
            "address_2": "SUITE # 210",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600054967",
            "telephone_number": "847-228-6440",
            "fax_number": "847-359-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 E GOLF RD",
            "address_2": "SUITE # 210",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600054967",
            "telephone_number": "847-228-6440",
            "fax_number": "847-359-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHHOLZ",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149001756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington HTS, IL

Sources for this page

Verify at the official NPI Registry.