Active NPI
Jamie Parham, CDCA
- Peer Specialist
- Cleveland, OH
National Provider Identifier
1124535752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 2530 Bundy Dr Apt I
Cleveland, OH 44104-1823 - Phone
- (216) 804-7212
- NPI assigned
- Jan 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 165372 | OH | |
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
2530 Bundy Dr Apt I
Cleveland, OH 44104-1823
Mailing address
1054 E 169TH St
Cleveland, OH 44110-1521
Phone (216) 804-7212
Other practice location 1
1905 east 89th street
cleveland, OH 44106
Phone (219) 231-3772 ext. 578
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165372 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1124535752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1054 E 169TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441101521",
"telephone_number": "216-804-7212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 BUNDY DR APT I",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441041823",
"telephone_number": "216-804-7212"
}
],
"practiceLocations": [
{
"address_1": "1905 east 89th street",
"address_purpose": "LOCATION",
"city": "cleveland",
"state": "OH",
"postal_code": "44106",
"country_code": "US",
"telephone_number": "219-231-3772 x578",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARHAM",
"first_name": "JAMIE",
"credential": "CDCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-04",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "165372",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.