Individual provider Active NPI

James Robert Hart, BA CAC I

  • Addiction (Substance Use Disorder) Counselor
  • Lyons, CO
National Provider Identifier
1679628952
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6850 Issued in CO
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
13918COMDMental Health Counselor
6850COMDPhysical 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.

Verify at the official NPI Registry.