Individual provider Active NPI

Jamor James, ACTT THERAPIST

  • Clinical Social Worker
  • Allegan, MI
National Provider Identifier
1144611765
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851117375 Issued in MI
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

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6851117375MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Allegan County Community Mental Health Services PastSince Jul 17, 2021 Accepting new patients
Brennerhelp LLC PastSince May 1, 2022 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.

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.

Verify at the official NPI Registry.