Active NPI
James Robert Hart, BA CAC I
- Addiction (Substance Use Disorder) Counselor
- Lyons, CO
National Provider Identifier
1679628952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6850
- Practice address
- 304 Main Street, Unit C
Lyons, CO 80540 - Phone
- (720) 310-8010
- Fax
- (303) 823-9355
- NPI assigned
- Jan 24, 2007
- Last updated
- Jun 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6850 | CO | Primary |
| Mental Health Counselor | 101YM0800X | 13918 | CO | |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
304 Main Street, Unit C
Lyons, CO 80540
Mailing address
PO Box 499
Lyons, CO 80540-0499
Phone (720) 310-8010
Other names 1
- James Robert Ingersoll
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13918 | CO | MD | Mental Health Counselor |
| 6850 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1679628952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 499",
"city": "LYONS",
"state": "CO",
"postal_code": "805400499",
"telephone_number": "720-310-8010",
"fax_number": "303-823-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 MAIN STREET, UNIT C",
"city": "LYONS",
"state": "CO",
"postal_code": "80540",
"telephone_number": "720-310-8010",
"fax_number": "303-823-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "JAMES",
"middle_name": "ROBERT",
"credential": "BA CAC I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "6850",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "13918",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMES",
"last_name": "INGERSOLL",
"middle_name": "ROBERT",
"credential": "QMHA, BA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lyons, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.