John Phillip James, PHD, LMHC MH15041

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

6313 Corporate CT Ste 120
Fort Myers, FL 33919-3509

Phone

(845) 300-4138

Fax

(239) 362-0710

NPI assigned

Oct 2, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Phil James Other name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Thriveworks Clinical - Florida Inc

  • Mental Health Counselor
  • Fort Lauderdale, FL
  • NPI 1396360996
  Medicare reassignment NPD

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1770986903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 SUNSET CT",
            "address_2": "APT 205",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045040",
            "telephone_number": "845-300-4138",
            "fax_number": "239-362-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6313 CORPORATE CT STE 120",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193509",
            "telephone_number": "845-300-4138",
            "fax_number": "239-362-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "JOHN",
        "middle_name": "PHILLIP",
        "credential": "PHD, LMHC MH15041",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-02",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MH15041",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHIL",
            "last_name": "JAMES",
            "credential": "PHD, LMHC MH15041",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristen Jalovecky, LCSW
• James J. O'Mailia, MD, PA
• James Todd Williams DC PA
• Barbara Snell James, P.A.
• Crystal James, HHA
• Megan James
• Jamies Home Care Services LLC
• Eddris G Jamieson
• Flavio Jamur, ARNP
• Robert C Janda, MD

• Counseling Psychologist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.