Active NPI
Caroline W James, LPC
- Professional Counselor
- Longview, TX
National Provider Identifier
1174666507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10810
- Practice address
- 108 Wain Dr
Longview, TX 75604-1231 - Phone
- (903) 445-2142
- Fax
- (903) 236-8510
- NPI assigned
- Feb 15, 2007
- Last updated
- Aug 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10810 | TX | Primary |
Addresses
Primary practice location
108 Wain Dr
Longview, TX 75604-1231
Mailing address
PO Box 5325
Longview, TX 75608-5325
Phone (903) 445-2142
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80907L | Other | TX | BLUE CROSS BLUE SHIELD |
| 095621103 | Medicaid | TX | |
| 095621101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240815004778 | TX | Practitioner - Mental Health Counselor | 9436596244 | Practice locations: Longview, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
108 Wain Dr
Longview, TX 75604-1231
Phone (903) 445-2142
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1174666507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5325",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756085325",
"telephone_number": "903-445-2142",
"fax_number": "903-236-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 WAIN DR",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756041231",
"telephone_number": "903-445-2142",
"fax_number": "903-236-8510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "CAROLINE",
"middle_name": "W",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "10810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "80907L",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "095621103",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "095621101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.