Pearl J. James, LADAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Crownpoint, NM
NPI 1407220122 · NPPES record last updated Jul 29, 2016
Key facts
- NPI
- 1407220122
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 0174901 (NM)
- Practice address
- JCT of State Hwy 371 and Navajo RT 9
Crownpoint, NM 87313-0358 - Phone
- (505) 786-6232
- NPI assigned
- Nov 18, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DHHS PHS Naihs Crownpoint Hospital
Practice addresses (Care Compare)
Junction of Hwy 371 Navajo RT 9
Crownpoint, NM 87313-0358
Phone (505) 786-5291
PO Box
Suite 358
Crownpoint, NM 87313-0358
Hospital & facility affiliations
- Crownpoint Healthcare Facility
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.65 of 100
- Quality
- 68.3
- Improvement activities
- 40
- Cost
- 86.97
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151217000586 | TX | Practitioner - Clinical Social Worker | 8123329166 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0174901 | NM | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo Pintado Clinic | Current | Accepting new patients | |
| DHHS PHS Naihs Crownpoint Hospital | Current | Accepting new patients | |
| Thoreau Clinic | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0174901 | NM | Yes |
Addresses
Primary practice location
JCT of State Hwy 371 and Navajo RT 9
Crownpoint, NM 87313-0358
Mailing address
PO Box 358
Crownpoint, NM 87313-0358
Phone (505) 786-6232
Other providers in Crownpoint, NM
- Raul Flores
- Halley Marie Friedeman
- Eugene Guei
- Tania Hurlbutt
- Tiffani Jackson
- Caroline Jensen
- Kenneth A Joe
- John J Johnson
- Allen Eugene Jones
- Roxane Burch Jones
All providers in Crownpoint, NM · Addiction (Substance Use Disorder) Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.