Individual provider Active NPI

Betty Jean James

  • Mental Health Counselor
  • Warner Robins, GA
National Provider Identifier
1629625223
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC010804 Issued in GA
Practice address
96 Tommy Stalnaker Dr Ste B
Warner Robins, GA 31088-9236
Phone
(478) 333-2735
NPI assigned
Aug 20, 2019
Last updated
Aug 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC010804 GA Primary

Addresses

Primary practice location

96 Tommy Stalnaker Dr Ste B
Warner Robins, GA 31088-9236

Mailing address

96 Tommy Stalnaker Dr Ste B
Warner Robins, GA 31088-9236
Phone (478) 333-2735

Other identifiers 2

IdentifierTypeStateIssuer
208019303MedicaidGA
208019303OtherGANONE

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Direct
CONNECT URL Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20260311003573 GA Practitioner - Mental Health Counselor 2769965334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Behavioral Services LLCGroup PAC ID 3072845692, 5 clinicians

Practice addresses (Care Compare)

104 Borders Way
Suite 500
Warner Robins, GA 31088-8967
Phone (478) 352-0422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC010804GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Counseling, Wellness and Rehab CurrentSince Aug 25, 2019 Accepting new patients
Positive Impact Counseling Services Current Accepting new patients
Georgia Behavioral Services, LLC CurrentSince Jan 24, 2026 Accepting new patients

Locations

104 Borders Way
Ste 500
Warner Robins, GA 31088
Phone (478) 333-2182

96 Tommy Stalnaker Dr
Ste B
Warner Robins, GA 31088
Phone (478) 333-2735

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1629625223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 TOMMY STALNAKER DR STE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889236",
            "telephone_number": "478-333-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 TOMMY STALNAKER DR STE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889236",
            "telephone_number": "478-333-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "BETTY",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC010804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208019303",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "208019303",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Direct",
            "affiliation": "N",
            "address_1": "96 Tommy Stalnaker Dr Ste B",
            "city": "Warner Robins",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310889236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Direct",
            "affiliation": "N",
            "address_1": "96 Tommy Stalnaker Dr Ste B",
            "city": "Warner Robins",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310889236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.