Active NPI
James Earl Holland Jr., LCSW
- Clinical Social Worker
- Arcata, CA
National Provider Identifier
1558510743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 81335
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW 27989 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Holland Jr, Licensed Clinical Social Worker Inc | Clinical | Current | Accepting new patients |
| United Indian Health Services, Inc. | Current | Accepting new patients | |
| United Indian Health Services, Inc. | Current | 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.
-
- Primary Care Clinic/Center
- Arcata, CA
- NPI 1497751572
-
- Clinical Social Worker
- Bakersfield, CA
- NPI 1134713001
-
- Primary Care Clinic/Center
- Crescent City, CA
- NPI 1043216021
-
- Community Health Clinic/Center
- Arcata, CA
- NPI 1699506121
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.