Organization Active NPI

Kenny James, M.S., L.P.C., P.C., LTD.

  • Professional Counselor
  • Ponca City, OK
National Provider Identifier
1730427725
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1018 Issued in OK
Legal business name
KENNY JAMES, M.S., L.P.C., P.C., LTD.
Practice address
118 N Oak St
Ponca City, OK 74601-4238
Phone
(580) 304-9991
Fax
(580) 762-1066
NPI assigned
Jan 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Jimmie Kenneth James, LPCNPI 1942447719
Title
Owner
Phone
(580) 304-9991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 1018 OK Primary

Addresses

Primary practice location

118 N Oak St
Ponca City, OK 74601-4238

Mailing address

118 N Oak St
Ponca City, OK 74601-4238
Phone (580) 304-9991

Other identifiers 1

IdentifierTypeStateIssuer
200231600AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240222001511 OK Part B Supplier - Clinic/Group Practice 7416391081 Receives reassigned benefits from 1 practitioner
Practice locations: Ponca City, OK

National Provider Directory

National Provider Directory

Locations

118 N Oak St
Ponca City, OK 74601
Phone (580) 304-9991

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1730427725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N OAK ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014238",
            "telephone_number": "580-304-9991",
            "fax_number": "580-762-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N OAK ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014238",
            "telephone_number": "580-304-9991",
            "fax_number": "580-762-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNY JAMES, M.S., L.P.C., P.C., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-304-9991",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200231600A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.