Individual provider Active NPI

James J Canfield, LISW-S

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1487750428
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0009369.SUPV Issued in OH
Practice address
8040 Hosbrook Rd Ste 320
Cincinnati, OH 45236-2908
Phone
(513) 861-9797
Fax
(513) 861-3510
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0009369.SUPV OH Primary

Addresses

Primary practice location

8040 Hosbrook Rd Ste 320
Cincinnati, OH 45236-2908

Mailing address

8040 Hosbrook Rd Ste 320
Cincinnati, OH 45236-2908
Phone (513) 861-9797

Other practice location 1

4464 S Dixie Hwy
Middletown, OH 45005-5464
Phone (513) 649-8008 ext. 22

Other practice location 2

1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205
Phone (513) 939-0300

Other identifiers 4

IdentifierTypeStateIssuer
0074861OtherOHOHIO DEPT. OF ALCOHOL & DRUG ADDICTION SERVICES (GROUP)
0074946OtherOHOHIO DEPT. OF MENTAL HEALTH (GROUP)
01-0693OtherOHCARF CERTIFIED ACCREDITATION
H130910OtherOHMEDICARE PTAN GROUP ACCESS COUNSELING SERVICES, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160817002870 OH Practitioner - Clinical Social Worker 0749575520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindfully LLCGroup PAC ID 3476606252, 66 clinicians

Practice addresses (Care Compare)

1251 Nilles Rd
Suite 5
Fairfield, OH 45014-7205
Phone (888) 830-0347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0009369.SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfully, LLC CurrentSince May 1, 2018 Accepting new patients
Mindfully, LLC Clinical CurrentSince May 1, 2018 Accepting new patients
Access Counseling Services, LLC PastSince Jun 1, 2016 Accepting new patients
Mindfully Psychiatry LLC Past Accepting new patients

Locations

199 S Chillicothe Rd
Ste 207
Aurora, OH 44202

4357 Harrison Ave
Ste 100
Cincinnati, OH 45211

5630 Bridgetown Rd
Ste 4
Cincinnati, OH 45248
Phone (513) 252-8054

8040 Hosbrook Rd
Ste 320
Cincinnati, OH 45236
Phone (513) 861-9797

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

10861 Yankee St
Dayton, OH 45458
Phone (937) 619-0800

6255 Emerald Pkwy
Dublin, OH 43016
Phone (614) 766-3344

5050 Blazer Pkwy
Ste 101
Dublin, OH 43017
Phone (614) 451-7346

1251 Nilles Rd
Ste 5
Fairfield, OH 45014
Phone (732) 993-4599

6100 Oak Tree Blvd
Ste 200
Independence, OH 44131
Phone (330) 344-9030

1715 Indian Wood Cir
Ste 200
Maumee, OH 43537
Phone (216) 770-9367

10547 Montgomery Rd
Ste 700
Montgomery, OH 45242
Phone (513) 393-0300

110 S College Ave
Fl 2
Oxford, OH 45056
Phone (513) 273-0020

11565 Pearl Rd
Ste 200
Strongsville, OH 44136
Phone (440) 846-0862

3000 Regency Ct
Ste 207
Toledo, OH 43623
Phone (419) 471-0493

5900 W Chester Rd
Ste C
West Chester, OH 45069
Phone (513) 777-2428

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1487750428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 HOSBROOK RD STE 320",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362908",
            "telephone_number": "513-861-9797",
            "fax_number": "513-861-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 HOSBROOK RD STE 320",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362908",
            "telephone_number": "513-861-9797",
            "fax_number": "513-861-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4464 S Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450055464",
            "country_code": "US",
            "telephone_number": "513-649-8008 x22",
            "fax_number": "513-649-8004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1251 Nilles Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "450147205",
            "country_code": "US",
            "telephone_number": "513-939-0300",
            "fax_number": "513-939-0310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANFIELD",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009369.SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPT. OF ALCOHOL & DRUG ADDICTION SERVICES  (GROUP)",
            "identifier": "0074861",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPT. OF MENTAL HEALTH  (GROUP)",
            "identifier": "0074946",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARF CERTIFIED ACCREDITATION",
            "identifier": "01-0693",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN GROUP ACCESS COUNSELING SERVICES, LLC",
            "identifier": "H130910",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.