Active NPI
Lissa J James, LPC
- Professional Counselor
- Miami, OK
National Provider Identifier
1376763540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2567
- Practice address
- 120 South Treaty Road
Miami, OK 74354 - Phone
- (918) 540-1511
- Fax
- (918) 542-7374
- NPI assigned
- Apr 27, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2567 | OK | Primary |
Addresses
Primary practice location
120 South Treaty Road
Miami, OK 74354
Mailing address
120 South Treaty Road
Miami, OK 74354
Phone (918) 540-1511
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Lake Mental Health Center, Inc. | 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.
-
- Case Management Agency
- Miami, OK
- NPI 1306854245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376763540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 SOUTH TREATY ROAD",
"city": "MIAMI",
"state": "OK",
"postal_code": "74354",
"telephone_number": "918-540-1511",
"fax_number": "918-542-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SOUTH TREATY ROAD",
"city": "MIAMI",
"state": "OK",
"postal_code": "74354",
"telephone_number": "918-540-1511",
"fax_number": "918-542-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "LISSA",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "2567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, OK
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.