Individual provider Active NPI

Jesse Allen James, CL, SUDP, CGCS

  • Professional Counselor
  • Vancouver, WA
National Provider Identifier
1285863894
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CL6109010 Issued in WA
Practice address
6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7254
Phone
(360) 993-3000
NPI assigned
Jul 6, 2009
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP00006269 WA
Professional Counselor 101YP2500X CL6109010 WA Primary

Addresses

Primary practice location

6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7254

Mailing address

408 SE 7TH St
Battle Ground, WA 98604-8372
Phone (360) 980-2722

Other practice location 1

101 E 8th St Ste 110
Vancouver, WA 98660-3294
Phone (360) 980-2722

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
CP00006269WAMDAddiction (Substance Use Disorder) Counselor
CL6109010WAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1285863894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 SE 7TH ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986048372",
            "telephone_number": "360-980-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6926 NE FOURTH PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617254",
            "telephone_number": "360-993-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E 8th St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986603294",
            "country_code": "US",
            "telephone_number": "360-980-2722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "JESSE",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "CL, SUDP, CGCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00006269",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "CL6109010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.