Individual provider Active NPI

Vanessa Starr James, LLMSW

  • Clinical Social Worker
  • Indian Trail, NC
National Provider Identifier
1205213428
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
120 Unionville Indian Trail Rd W Ste C100
Indian Trail, NC 28079-5670
Phone
(704) 438-9901
NPI assigned
Apr 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 6801096835 MI
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

120 Unionville Indian Trail Rd W Ste C100
Indian Trail, NC 28079-5670

Mailing address

6502 Afterglow Dr
Indian Trail, NC 28079-9439
Phone (989) 493-5879

Other practice location 1

30995 Lakeview Blvd
Apt #7304
Wixom, MI 48393-2858
Phone (989) 493-5879

Other names 1

  • Ms. Vanessa Starr Pittman Former name

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

State licenses

LicenseStateTypeSpecialty
6801096835MIMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling Services, PLLC Clinical CurrentSince Apr 24, 2022 Accepting new patients

Locations

120 Unionville Indian Trail Rd W
Ste C100
Indian Trail, NC 28079

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.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1205213428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 AFTERGLOW DR",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280799439",
            "telephone_number": "989-493-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 UNIONVILLE INDIAN TRAIL RD W STE C100",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795670",
            "telephone_number": "704-438-9901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30995 Lakeview Blvd",
            "address_2": "APT #7304",
            "address_purpose": "LOCATION",
            "city": "Wixom",
            "state": "MI",
            "postal_code": "483932858",
            "country_code": "US",
            "telephone_number": "989-493-5879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "VANESSA",
        "middle_name": "STARR",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "MI",
            "license": "6801096835",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "PITTMAN",
            "middle_name": "STARR",
            "prefix": "MS.",
            "credential": "LCSWA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.