Organization Active NPI

James J Reid LLC

  • Social Worker
  • Ft Collins, CO
National Provider Identifier
1184833832
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
991830 Issued in CO
Legal business name
JAMES J REID LLC
Practice address
1220 University Ave
Ft Collins, CO 80521
Phone
(970) 484-3356
Fax
(970) 484-3434
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James J Reid, LCSWNPI 1164922852
Title
Manager
Phone
(970) 484-3356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 991830 CO Primary

Addresses

Primary practice location

1220 University Ave
Ft Collins, CO 80521

Mailing address

831 Benthaven St
Ft Collins, CO 80526
Phone (970) 226-2784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180226000381 CO Part B Supplier - Clinic/Group Practice 8022379510 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Collins, CO

National Provider Directory

National Provider Directory

Locations

1220 University Ave
Fort Collins, CO 80521
Phone (970) 484-3356

736 Whalers Way
Ste G200
Fort Collins, CO 80525
Phone (970) 495-4692

375 E Horsetooth Rd
Bldg 1
Fort Collins, CO 80525
Phone (970) 286-9733

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184833832",
    "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": "970-226-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 UNIVERSITY AVE",
            "city": "FT COLLINS",
            "state": "CO",
            "postal_code": "80521",
            "telephone_number": "970-484-3356",
            "fax_number": "970-484-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J REID LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "970-484-3356",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "CO",
            "license": "991830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.