Individual provider Active NPI

James A. Lee, LMSW, CADC

  • Clinical Social Worker
  • Romulus, MI
National Provider Identifier
1699119461
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801105079 Issued in MI
Practice address
C/O Reliance Counseling, LLC
11126 Wayne Rd.
Romulus, MI 48174
Phone
(734) 377-8720
Fax
(734) 527-6183
NPI assigned
Apr 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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 2-01347 MI
Clinical Social Worker 1041C0700X 6801105079 MI Primary

Addresses

Primary practice location

C/O Reliance Counseling, LLC
11126 Wayne Rd.
Romulus, MI 48174

Mailing address

C/O Reliance Counseling, LLC
11126 Wayne Rd.
Romulus, MI 48174
Phone (734) 377-8720

Other practice location 1

C/O in2being, LLC
131 E. Michigan Ave. Ste E
Saline, MI 48176
Phone (734) 377-8720

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2-01347MIMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1699119461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O RELIANCE COUNSELING, LLC",
            "address_2": "11126 WAYNE RD.",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "48174",
            "telephone_number": "734-377-8720",
            "fax_number": "734-527-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C/O RELIANCE COUNSELING, LLC",
            "address_2": "11126 WAYNE RD.",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "48174",
            "telephone_number": "734-377-8720",
            "fax_number": "734-527-6183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "C/O in2being, LLC",
            "address_2": "131 E. Michigan Ave. Ste E",
            "address_purpose": "LOCATION",
            "city": "Saline",
            "state": "MI",
            "postal_code": "48176",
            "country_code": "US",
            "telephone_number": "734-377-8720",
            "fax_number": "734-527-6183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAMES",
        "middle_name": "A.",
        "credential": "LMSW, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "2-01347",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801105079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romulus, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.