Kim Devone James, LPC,CADC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C4372 Issued in OR

Practice address

2172 S Edgewood St
Seaside, OR 97138-5128

Phone

(847) 877-1867

NPI assigned

Dec 31, 2007

Last updated

Jan 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1669657300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 S EDGEWOOD ST",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971385128",
            "telephone_number": "847-877-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2172 S EDGEWOOD ST",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971385128",
            "telephone_number": "847-877-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "KIM",
        "middle_name": "DEVONE",
        "name_prefix": "Ms.",
        "credential": "LPC,CADC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "30612",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "16-R-58U",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4372",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-006757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne Marie Heroux, OT
• Elizabeth Marguerite Hobbs, PA
• Lynn Hoth, FNP
• Mariah Elizabeth Howard, DC
• Lisa A Huddleston, MD
• Shelby James, LMT
• Denise Janetos, ARNP
• Jiyeon Jeon, MD
• Nacole Johnson, RN
• Jessica Jones, LMT

• Mental Health Counselor in Seaside, OR
• Providers in Seaside, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.