Active NPI
James Arthur Clement, ED.S,L.P.C., NCC
- Professional Counselor
- Joplin, MO
National Provider Identifier
1497843023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2004020196
- Practice address
- 1505 E 20TH St
Joplin, MO 64804-0928 - Phone
- (417) 627-9601
- Fax
- (417) 627-9032
- NPI assigned
- Oct 10, 2006
- Last updated
- Sep 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2004020196 | MO | Primary |
Addresses
Primary practice location
1505 E 20TH St
Joplin, MO 64804-0928
Mailing address
2168 W Morgan Heights St
Carthage, MO 64836-8784
Phone (417) 388-0199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 497412908 | Medicaid | MO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004020196 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindy Miller LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Joplin, MO
- NPI 1699947820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222041600000",
"number": "1497843023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2168 W MORGAN HEIGHTS ST",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648368784",
"telephone_number": "417-388-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 E 20TH ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648040928",
"telephone_number": "417-627-9601",
"fax_number": "417-627-9032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENT",
"first_name": "JAMES",
"middle_name": "ARTHUR",
"name_prefix": "Mr.",
"credential": "ED.S,L.P.C., NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2008-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2004020196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "497412908",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.