Individual provider Active NPI

James Joseph Peters, LCSW

  • Clinical Social Worker
  • The Woodlands, TX
National Provider Identifier
1316715600
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66356 Issued in TX
Practice address
150 E Elm Cres
The Woodlands, TX 77382-1047
Phone
(561) 573-7744
NPI assigned
Dec 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 66356 TX Primary

Addresses

Primary practice location

150 E Elm Cres
The Woodlands, TX 77382-1047

Mailing address

150 E Elm Cres
The Woodlands, TX 77382-1047
Phone (561) 573-7744

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240319001836 TX Practitioner - Clinical Social Worker 1052758687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Psychological Care I LLCGroup PAC ID 1557535226, 9 clinicians

Practice addresses (Care Compare)

303 Lantern Bend Dr
Houston, TX 77090-2823
Phone (713) 630-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66356TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychological Care I, LLC Clinical CurrentSince Mar 5, 2024 Accepting new patients

Locations

1175 Denton St
Beaumont, TX 77707
Phone (409) 842-3120

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

4653 SW Fwy
Ste 635
Houston, TX 77027

413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266

23200 Valley Ranch Pkwy
Porter, TX 77365
Phone (346) 326-5085

920 E Avenue L
Silsbee, TX 77656
Phone (409) 385-5571

6602 Memorial Dr
Texas City, TX 77591
Phone (409) 935-2451

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1316715600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E ELM CRES",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773821047",
            "telephone_number": "561-573-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E ELM CRES",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773821047",
            "telephone_number": "561-573-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.