Individual provider Active NPI

James August Zanker, MA, LPC, NCC, LCAS

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1447484316
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6971 Issued in NC
Practice address
321 N Front St
Suite 214
Wilmington, NC 28401-3908
Phone
(910) 791-4478
Fax
(910) 251-1040
NPI assigned
May 7, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1435 NC
Counselor 101Y00000X 6971 NC
Mental Health Counselor 101YM0800X 6971 NC Primary
Professional Counselor 101YP2500X 6971 NC

Addresses

Primary practice location

321 N Front St
Suite 214
Wilmington, NC 28401-3908

Mailing address

3608 Winston Blvd
Wilmington, NC 28403-2706
Phone (910) 791-4478

Other identifiers 1

IdentifierTypeStateIssuer
6104389MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318000935 NC Practitioner - Mental Health Counselor 9436596145 Practice locations: Wilmington, NC

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

321 N Front St
Wilmington, NC 28401-3908
Phone (910) 791-4478

3608 Winston Blvd
Wilmington, NC 28403-2706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6971NCMDPsychologist
1435NCMDGeriatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1447484316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 WINSTON BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032706",
            "telephone_number": "910-791-4478",
            "fax_number": "910-251-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N FRONT ST",
            "address_2": "SUITE 214",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013908",
            "telephone_number": "910-791-4478",
            "fax_number": "910-251-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANKER",
        "first_name": "JAMES",
        "middle_name": "AUGUST",
        "name_prefix": "Mr.",
        "credential": "MA, LPC, NCC, LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-07",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1435",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "6971",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "6971",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6971",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104389",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.