Active NPI
Tyishia Denise James, LSW
- Professional Counselor
- Montclair, NJ
National Provider Identifier
1275267288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 44SL06812900
- Practice address
- 70 Park St Ste 104
Montclair, NJ 07042-2960 - Phone
- (862) 234-5029
- NPI assigned
- Jul 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 44SL06812900 | NJ | Primary |
Addresses
Primary practice location
70 Park St Ste 104
Montclair, NJ 07042-2960
Mailing address
608 Duquesne Ter
Union, NJ 07083-9106
Phone (347) 676-9962
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | tyishia@trimentacounseling.com | Health Information Exchange (HIE) | |
| CONNECT URL | tyishia@trimentacounseling.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06812900 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1275267288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 DUQUESNE TER",
"city": "UNION",
"state": "NJ",
"postal_code": "070839106",
"telephone_number": "347-676-9962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 PARK ST STE 104",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422960",
"telephone_number": "862-234-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "TYISHIA",
"middle_name": "DENISE",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-14",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "44SL06812900",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "tyishia@trimentacounseling.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "70 Park St Ste 104",
"city": "Montclair",
"state": "NJ",
"country_code": "US",
"postal_code": "070422960",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "tyishia@trimentacounseling.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "70 Park St Ste 104",
"city": "Montclair",
"state": "NJ",
"country_code": "US",
"postal_code": "070422960",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.