James Contois

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

20355 Issued in MN

Practice address

6120 Earle Brown Drive
Suite 100
Brooklyn Center, MN 55430

Phone

(763) 277-1046

NPI assigned

Mar 9, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerlife Counseling LLCGroup PAC ID 0547391187, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Centerlife Counseling, LLC

  • Mental Health Counselor
  • Centerville, MN
  • NPI 1417283946
  Medicare reassignment Care Compare group NPD
• Community Options Fridley Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fridley, MN
  • NPI 1154441491

  Community Based Residential Treatment Facility, Mental Illness

  NPD (past)
• Rescare Minnesota, Inc.

  • Community/Behavioral Health Agency
  • Fridley, MN
  • NPI 1922444157
  NPD (past)

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1265973358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5384 5TH ST NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "55421",
            "telephone_number": "763-572-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 EARLE BROWN DRIVE",
            "address_2": "SUITE 100",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "55430",
            "telephone_number": "763-277-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTOIS",
        "first_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MN",
            "license": "20355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Companion Health Services, LLC
• Compassionate Healthcare LLC
• Concierge Healthcare
• Logan Keith Connor, DMD
• Jemima Conteh
• Parker William Cook
• Sara Jean Cooper, D.D.S
• Covenant Care, LLC
• Selena Monia Cowser
• Creative Village Connections

• Mental Illness Community Based Residential Treatment Facility in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Mental Illness Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.

Verify at the official NPI Registry.