Colleen S James, LCSW, LPC, SAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3613 Issued in WI

Practice address

840 State Road 136 Ste 1
Baraboo, WI 53913-9252

Phone

(608) 477-9858

Fax

(877) 560-0578

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Innervisions Counseling & Consulting Center, S.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baraboo, WI
  • NPI 1639402902
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1598829897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 STATE ROAD 136 STE 1",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539139252",
            "telephone_number": "608-477-9858",
            "fax_number": "877-560-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 STATE ROAD 136 STE 1",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539139252",
            "telephone_number": "608-477-9858",
            "fax_number": "877-560-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "COLLEEN",
        "middle_name": "S",
        "credential": "LCSW, LPC, SAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "12133",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39602100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur Vance Hyzer, DPT, PT
• Austin Reid Imerman, D.D.S.
• Innervisions Counseling & Consulting Center, S.C.
• Allie Isaacson, RN
• Jay Samuel Jackson, DO
• Lisa Lynn James, RN
• David Lloyd Jarvis, M.D.
• Wayne A Johansen, PT
• Chad A Johnson, OD
• Elizabeth Tweeten Johnson, RN, BSN

• Clinical Social Worker in Baraboo, WI
• Providers in Baraboo, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.