Willie Ray James Jr., PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

610 Kirby PL
Shreveport, LA 71104-3120

Phone

(912) 217-8100

NPI assigned

Jul 13, 2022

Last updated

Jul 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1174257265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 KIRBY PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043120",
            "telephone_number": "912-217-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 KIRBY PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043120",
            "telephone_number": "912-217-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Olive St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711042312",
            "country_code": "US",
            "telephone_number": "912-217-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "WILLIE",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah James, LPC
• Stephanie James, MD
• Teniquel James
• Virginia James
• Walter Joseph James, D.D.S. , M.D.
• Diane Elizabeth Jamison-Blair, MD
• Brandi Jamison, APRN
• Jessica Jamison, PROVIDER
• Kimberly Jamison, RBT
• Jammin' With James Therapy, LLC

• Mental Health Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.