Individual provider Active NPI

James Edward Powell, M.A.,PH.D.LPCS/LCAS

  • Mental Health Counselor
  • Mooresboro, NC
National Provider Identifier
1639165012
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3658 Issued in NC
Practice address
2924 Fox PL
Mooresboro, NC 28114-9793
Phone
(828) 429-1240
NPI assigned
Sep 21, 2005
Last updated
Oct 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1517 NC
Mental Health Counselor 101YM0800X 3658 NC Primary

Addresses

Primary practice location

2924 Fox PL
Mooresboro, NC 28114-9793

Mailing address

2924 Fox PL
Mooresboro, NC 28114-9793
Phone (828) 429-1240

Other identifiers 4

IdentifierTypeStateIssuer
2246448OtherNCCIGNA
E0338-B0775OtherNCMEDCOST
6102211MedicaidNC
139VYOtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20241205002421 NC Practitioner - Mental Health Counselor 8628001849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Preferred Choice HealthcareGroup PAC ID 2567687817, 3 clinicians

Practice addresses (Care Compare)

806 N Lafayette St
Shelby, NC 28150-3831
Phone (704) 487-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3658NCMDMental Health Counselor
1517NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Choice Healthcare Mental Health CurrentSince Apr 14, 2014 Accepting new patients
Carolina Asthma and Allergy Center PA PastSince Aug 17, 2024 Accepting new patients
Powell Counseling Center, PLLC Past Accepting new patients

Locations

182 W Court St
Rutherfordton, NC 28139
Phone (704) 487-4000

116 Lee St
Shelby, NC 28150
Phone (704) 487-0634

806 N Lafayette St
Shelby, NC 28150
Phone (704) 471-0002

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1639165012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 FOX PL",
            "city": "MOORESBORO",
            "state": "NC",
            "postal_code": "281149793",
            "telephone_number": "828-429-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 FOX PL",
            "city": "MOORESBORO",
            "state": "NC",
            "postal_code": "281149793",
            "telephone_number": "828-429-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.A.,PH.D.LPCS/LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1517",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "3658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2246448",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "E0338-B0775",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102211",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "139VY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresboro, NC

Sources for this page

Verify at the official NPI Registry.