Active NPI
James R Soda
- Mental Health Counselor
- Hobe Sound, FL
National Provider Identifier
1609382225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH15004
- Practice address
- 11181 SE Federal Hwy
Hobe Sound, FL 33455-5128 - Phone
- (303) 550-9982
- Fax
- (303) 550-9982
- NPI assigned
- Dec 19, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0000453 | CO | |
| Professional Counselor | 101YP2500X | LPC.0012446 | CO | |
| Mental Health Counselor | 101YM0800X | MH15004 | FL | Primary |
Addresses
Primary practice location
11181 SE Federal Hwy
Hobe Sound, FL 33455-5128
Mailing address
239 E River Park Dr
Jupiter, FL 33477-9307
Phone (303) 489-0420
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 |
|---|---|---|---|
| ACD.0000453 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| MH15004 | FL | MD | Mental Health Counselor |
| LPC.0012446 | CO | MD | Professional Counselor |
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.
-
- Professional Counselor
- Basalt, CO
- NPI 1649633785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513641600000",
"number": "1609382225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 E RIVER PARK DR",
"city": "JUPITER",
"state": "FL",
"postal_code": "334779307",
"telephone_number": "303-489-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11181 SE FEDERAL HWY",
"city": "HOBE SOUND",
"state": "FL",
"postal_code": "334555128",
"telephone_number": "303-550-9982",
"fax_number": "303-550-9982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SODA",
"first_name": "JAMES",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-19",
"last_updated": "2017-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACD.0000453",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0012446",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH15004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hobe Sound, FL
- Jeanine Smith, MA, LMFT
- Christopher Sneesby
- Snell Best Care Senior Services (Always Best Care Senior Services)
- Snell Best Care Senior Services, Inc. (Always Best Care Senior Services)
- Lindsay Snyder
- South Florida Behavioral Health
- South Florida Orthopaedics & Sports Medicine, PA
- Southern Florida Psychiatric Services LLC
- Specialty Health Associates LLC
- Bridget Stehly, R.PH.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.