Individual provider Active NPI

James Joseph Reid, LCSW

  • Clinical Social Worker
  • Ft. Collins, CO
National Provider Identifier
1164922852
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
991830 Issued in CO
Practice address
831 Benthaven St.
Ft. Collins, CO 80526
Phone
(970) 286-9733
Fax
(888) 283-7789
NPI assigned
Feb 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 991830 CO Primary

Addresses

Primary practice location

831 Benthaven St.
Ft. Collins, CO 80526

Mailing address

831 Benthaven St.
Ft. Collins, CO 80526
Phone (970) 286-9733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20180226000496 CO Practitioner - Clinical Social Worker 1759642259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 Coronado CT
Unit 7
Fort Collins, CO 80525-4929
Phone (970) 286-9733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
991830COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
James J Reid LLC CurrentSince Jan 26, 2018 Accepting new patients

Locations

109 Coronado Ct
Unit 7
Fort Collins, CO 80525
Phone (970) 286-9733

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164922852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 BENTHAVEN ST.",
            "city": "FT. COLLINS",
            "state": "CO",
            "postal_code": "80526",
            "telephone_number": "970-286-9733",
            "fax_number": "888-283-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 BENTHAVEN ST.",
            "city": "FT. COLLINS",
            "state": "CO",
            "postal_code": "80526",
            "telephone_number": "970-286-9733",
            "fax_number": "888-283-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Collins, CO

Sources for this page

Verify at the official NPI Registry.