Individual provider Active NPI

Jacqueline Sharon James-Friedman, MS LMHC

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1376795641
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
184 Issued in HI
Practice address
5806 Mesa Dr Ste 300
Austin, TX 78731-3783
Phone
(512) 201-4006
NPI assigned
Oct 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 184 HI Primary

Addresses

Primary practice location

5806 Mesa Dr Ste 300
Austin, TX 78731-3783

Mailing address

18612 Van Meter PL
Austin, TX 78738-4158
Phone (925) 528-9965

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 Science

State licenses

LicenseStateTypeSpecialty
184HIMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1376795641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18612 VAN METER PL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787384158",
            "telephone_number": "925-528-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5806 MESA DR STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313783",
            "telephone_number": "512-201-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES-FRIEDMAN",
        "first_name": "JACQUELINE",
        "middle_name": "SHARON",
        "name_prefix": "Mrs.",
        "credential": "MS LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.