Deborah James, LCDC, LPC
Individual provider Active NPI Professional Counselor · Atlanta, TX
NPI 1629348982 · NPPES record last updated Jun 13, 2024
Key facts
- NPI
- 1629348982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 79049 (TX)
- Practice address
- 1011 S William St
Atlanta, TX 75551-3245 - Phone
- (903) 796-2868
- NPI assigned
- Jan 4, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Texas Border Health Clinic
Practice addresses (Care Compare)
1011 S William St
Atlanta, TX 75551-3245
Phone (903) 796-2868
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231219002243 | TX | Practitioner - Mental Health Counselor | 9931559895 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8919 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 79049 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Texas Border Health Clinic | Current | Accepting new patients | |
| Deborah James Professional Counseling PLLC, LCDC,LPC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| East Texas Border Health Clinic | Current |
Accepting new patients | |
| East Texas Border Health Clinic | Current |
Accepting new patients | |
| East Texas Border Health Clinic | Past |
Accepting new patients | |
| East Texas Border Health Clinic | Past |
Accepting new patients |
Locations
1011 S William St
Atlanta, TX 75551
Phone (903) 796-2868
1400 College Dr
Texarkana, TX 75503
Phone (903) 791-1110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 8919 | TX | |
| Professional Counselor | 101YP2500X | 79049 | TX | Yes |
Addresses
Primary practice location
1011 S William St
Atlanta, TX 75551-3245
Mailing address
PO Box 86
Atlanta, TX 75551-0086
Phone (903) 650-3699
Other providers in Atlanta, TX
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- Richard Leroy Hozdic II
- Gary Moore Huddleston
- Erica Jones
- Kelly Evans Joslin
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All providers in Atlanta, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.