Individual provider Active NPI

James Earl Holland Jr., LCSW

  • Clinical Social Worker
  • Arcata, CA
National Provider Identifier
1558510743
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
81335 Issued in CA
Practice address
1600 Weeot Way
Arcata, CA 95521-4734
Phone
(707) 825-5000
NPI assigned
Sep 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X ASW 27989 CA
Clinical Social Worker 1041C0700X 81335 CA Primary

Addresses

Primary practice location

1600 Weeot Way
Arcata, CA 95521-4734

Mailing address

1600 Weeot Way
Arcata, CA 95521-4734
Phone (707) 825-5000

Other practice location 1

4646 Wilson Rd Ste 200
Bakersfield, CA 93309-5895
Phone (661) 264-6428

Other practice location 2

701 Scofield Ave
Wasco, CA 93280-7515
Phone (661) 758-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201009001993 CA Practitioner - Clinical Social Worker 5092057430 Reassigns benefits to 1 organization
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW 27989CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
James Holland Jr, Licensed Clinical Social Worker Inc Clinical CurrentSince Mar 4, 2021 Accepting new patients
United Indian Health Services, Inc. CurrentSince Dec 4, 2023 Accepting new patients
United Indian Health Services, Inc. CurrentSince Dec 4, 2023 Accepting new patients
United Indian Health Services, Inc. Current Accepting new patients

Locations

1600 Weeot Way
Arcata, CA 95521
Phone (707) 825-5000

4646 Wilson Rd
Ste 200
Bakersfield, CA 93309
Phone (661) 264-6428

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": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1558510743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WEEOT WAY",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214734",
            "telephone_number": "707-825-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WEEOT WAY",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214734",
            "telephone_number": "707-825-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4646 Wilson Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933095895",
            "country_code": "US",
            "telephone_number": "661-264-6428",
            "fax_number": "844-361-4927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Scofield Ave",
            "address_purpose": "LOCATION",
            "city": "Wasco",
            "state": "CA",
            "postal_code": "932807515",
            "country_code": "US",
            "telephone_number": "661-758-8400",
            "fax_number": "661-758-7082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "JAMES",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW 27989",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "81335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

Verify at the official NPI Registry.