Active NPI
James Edward Vance, MA, LPC, CCAC, LSW,
- Professional Counselor
- Charleston, WV
National Provider Identifier
1336342740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- WV376
- Practice address
- 1000 Centre Way
Charleston, WV 25309-9426 - Phone
- (304) 746-5166
- Fax
- (304) 746-5279
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- 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 | WV376 | WV | Primary |
Addresses
Primary practice location
1000 Centre Way
Charleston, WV 25309-9426
Mailing address
308 Monroe St
South Charleston, WV 25303-1801
Phone (304) 746-5166
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV376 | WV | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336342740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 MONROE ST",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253031801",
"telephone_number": "304-746-5166",
"fax_number": "304-746-5279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CENTRE WAY",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253099426",
"telephone_number": "304-746-5166",
"fax_number": "304-746-5279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCE",
"first_name": "JAMES",
"middle_name": "EDWARD",
"credential": "MA, LPC, CCAC, LSW,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "WV376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.