Active NPI
James R Maxwell, MA, LMFT, LMHC
- Marriage & Family Therapist
- Vancouver, WA
National Provider Identifier
1174874911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF 60160510
- Practice address
- 400 E Evergreen Blvd
Suite 301C
Vancouver, WA 98660-3331 - Phone
- (360) 635-1422
- NPI assigned
- Sep 19, 2012
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH 60160545 | WA | |
| Marriage & Family Therapist | 106H00000X | LF 60160510 | WA | Primary |
Addresses
Primary practice location
400 E Evergreen Blvd
Suite 301C
Vancouver, WA 98660-3331
Mailing address
PO Box 2606
Vancouver, WA 98668-2606
Phone (360) 635-1422
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH 60160545 | WA | MD | Mental Health Counselor |
| LF 60160510 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tara May, PHD, PLLC | Past | Accepting new patients |
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.
-
- Adult Mental Health Clinic/Center
- Vancouver, WA
- NPI 1558873729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1174874911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2606",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986682606",
"telephone_number": "360-635-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E EVERGREEN BLVD",
"address_2": "SUITE 301C",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986603331",
"telephone_number": "360-635-1422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "JAMES",
"middle_name": "R",
"credential": "MA, LMFT, LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-19",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH 60160545",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF 60160510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.