Jami Lyn Ross, LCSW, LICSW, CCTP,

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2013014033 Issued in MO

Practice address

6201 Oak Cyn Ste 150
Irvine, CA 92618-5230

Phone

(949) 508-1646

Fax

(833) 884-9400

NPI assigned

Jan 28, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Psychiatric Services Inc

  • Psychiatry Physician
  • Festus, MO
  • NPI 1154372464
  Medicare reassignment NPD
• Forefront-Khatkhate Medical Services PC

  • Psychiatry Physician
  • Springfield, IL
  • NPI 1164076683
  NPD
• Advanced Psychiatric Services

  • Psychiatry Physician
  • Sullivan, MO
  • NPI 1457303877
  NPD (past)

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1497178453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 OAK CYN STE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926185230",
            "telephone_number": "949-508-1646",
            "fax_number": "833-884-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 OAK CYN STE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926185230",
            "telephone_number": "949-508-1646",
            "fax_number": "833-884-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 Collins Road",
            "address_purpose": "LOCATION",
            "city": "Festus",
            "state": "MO",
            "postal_code": "63028",
            "country_code": "US",
            "telephone_number": "636-931-4206 x24",
            "fax_number": "636-931-5774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JAMI",
        "middle_name": "LYN",
        "credential": "LCSW, LICSW, CCTP,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3242G",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2013014033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "13974157",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ross Associates, a Psychological Corporation
• Barry Charles Ross, PH.D.
• Brandon Ross
• Chelsea J Ross
• Danica Ross
• Oliver Ross
• Dana Rossi
• Molly Good Rossknecht, D.O.
• Marietoni Yelo Rosure
• Evelyn Roth

• Clinical Social Worker in Irvine, CA
• Providers in Irvine, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.