Active NPI
Jamor James, ACTT THERAPIST
- Clinical Social Worker
- Allegan, MI
National Provider Identifier
1144611765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851117375
- Practice address
- 3283 122ND Ave
Allegan, MI 49010-9590 - Phone
- (269) 673-3384
- Fax
- (269) 686-5201
- NPI assigned
- Feb 18, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | MI | ||
| Peer Specialist | 175T00000X | |||
| Clinical Social Worker | 1041C0700X | 6851117375 | MI | Primary |
Addresses
Primary practice location
3283 122ND Ave
Allegan, MI 49010-9590
Mailing address
PO Box 130
Allegan, MI 49010-0130
Phone (269) 673-3384
Other practice location 1
3317 Greenleaf Blvd
Kalamazoo, MI 49008-2516
Phone (269) 216-3337
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 |
|---|---|---|---|
| 6851117375 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegan County Community Mental Health Services | Past | Accepting new patients | |
| Brennerhelp LLC | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Allegan, MI
- NPI 1528570322
-
- Mental Health Counselor
- Portage, MI
- NPI 1780326934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1144611765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "490100130",
"telephone_number": "269-673-3384",
"fax_number": "269-686-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3283 122ND AVE",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "490109590",
"telephone_number": "269-673-3384",
"fax_number": "269-686-5201"
}
],
"practiceLocations": [
{
"address_1": "3317 Greenleaf Blvd",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490082516",
"country_code": "US",
"telephone_number": "269-216-3337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMES",
"first_name": "JAMOR",
"name_prefix": "Mr.",
"credential": "ACTT THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-18",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851117375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allegan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.