Active NPI
James Robert Herron III, AAC
- Counselor
- Longview, WA
National Provider Identifier
1346709219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CG60939765
- Practice address
- 1338 Commerce Ave Ste 303
Longview, WA 98632-3726 - Phone
- (360) 878-2219
- Fax
- (844) 554-3370
- NPI assigned
- Mar 19, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG60939765 | WA | Primary |
Addresses
Primary practice location
1338 Commerce Ave Ste 303
Longview, WA 98632-3726
Mailing address
1338 Commerce Ave Ste 303
Longview, WA 98632-3726
Phone (360) 878-2219
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 |
|---|---|---|---|
| CG60939765 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Integrated Health Services, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Centralia, WA
- NPI 1942840160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1346709219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1338 COMMERCE AVE STE 303",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986323726",
"telephone_number": "360-878-2219",
"fax_number": "844-554-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1338 COMMERCE AVE STE 303",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986323726",
"telephone_number": "360-878-2219",
"fax_number": "844-554-3370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRON",
"first_name": "JAMES",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "AAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-19",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG60939765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.