Individual provider Active NPI

James Vincent Aveni Jr., LCSW

  • Clinical Social Worker
  • Amarillo, TX
National Provider Identifier
1184627960
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00351 Issued in TX
Practice address
901 Wallace Blvd
BLDG 501
Amarillo, TX 79106-1705
Phone
(806) 874-3504
NPI assigned
May 24, 2005
Last updated
May 31, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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 00351 TX Primary

Addresses

Primary practice location

901 Wallace Blvd
BLDG 501
Amarillo, TX 79106-1705

Mailing address

901 Wallace Blvd
BLDG 501
Amarillo, TX 79106-1705
Phone (806) 874-3504

Other identifiers 3

IdentifierTypeStateIssuer
82582WOtherBCBS WITH TPMHMR GROUP
040610002MedicaidTX
040610001MedicaidTX

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
00351TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1184627960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WALLACE BLVD",
            "address_2": "BLDG 501",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061705",
            "telephone_number": "806-874-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WALLACE BLVD",
            "address_2": "BLDG 501",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061705",
            "telephone_number": "806-874-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVENI",
        "first_name": "JAMES",
        "middle_name": "VINCENT",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "00351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WITH TPMHMR GROUP",
            "identifier": "82582W",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040610002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040610001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.

Verify at the official NPI Registry.