Active NPI
James J Pobanz, LCDC, LCSW
- Social Worker
- Fort Leonard Wood, MO
National Provider Identifier
1144736240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 64944
- Practice address
- 4234 Illinois Ave
Fort Leonard Wood, MO 65473-9098 - Phone
- (573) 596-0522
- NPI assigned
- Dec 27, 2017
- 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 | 16344 | TX | |
| Social Worker | 104100000X | 64944 | TX | Primary |
Addresses
Primary practice location
4234 Illinois Ave
Fort Leonard Wood, MO 65473-9098
Mailing address
4234 Illinois Ave
Fort Leonard Wood, MO 65473-9098
Phone (573) 596-0522
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 |
|---|---|---|---|
| 64944 | TX | MD | Social Worker |
| 16344 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Sight LLC | Current | Accepting new patients |
Locations
4203 Woodcock Dr
Ste 216
San Antonio, TX 78228
Phone (210) 564-9116
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1144736240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4234 ILLINOIS AVE",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654739098",
"telephone_number": "573-596-0522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4234 ILLINOIS AVE",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654739098",
"telephone_number": "573-596-0522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POBANZ",
"first_name": "JAMES",
"middle_name": "J",
"credential": "LCDC, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-27",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "16344",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "64944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Leonard Wood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.