Active NPI
James Andrew Massie, M.S.
- Professional Counselor
- Stilwell, OK
National Provider Identifier
1669765129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5963
- Practice address
- RR 6 Box 5
Stilwell, OK 74960-9501 - Phone
- (918) 797-7786
- NPI assigned
- May 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5963 | OK | Primary |
Addresses
Primary practice location
RR 6 Box 5
Stilwell, OK 74960-9501
Mailing address
1302 N 3Rd St
Stilwell, OK 74960-1820
Phone (918) 797-7998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200362750A | Medicaid | OK |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Counseling Services LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Stilwell, OK
- NPI 1053721894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456358400000",
"number": "1669765129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 N 3RD ST",
"city": "STILWELL",
"state": "OK",
"postal_code": "749601820",
"telephone_number": "918-797-7998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 6 BOX 5",
"city": "STILWELL",
"state": "OK",
"postal_code": "749609501",
"telephone_number": "918-797-7786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSIE",
"first_name": "JAMES",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-17",
"last_updated": "2016-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "5963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200362750A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stilwell, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.