Active NPI
James Jay Wickert, LICD PROF COUNSELOR
- Professional Counselor
- Lakewood, CO
National Provider Identifier
1780790287
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jun 17, 2010.
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 132
- Practice address
- 165 South Union Blvd
# 570 Westside Behavioral Care Inc
Lakewood, CO 80228 - Phone
- (303) 397-0343
- Fax
- (303) 986-4973
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 132 | CO | Primary |
Addresses
Primary practice location
165 South Union Blvd
# 570 Westside Behavioral Care Inc
Lakewood, CO 80228
Mailing address
165 South Union Blvd
# 570 Westside Behavioral Care Inc
Lakewood, CO 80228
Phone (303) 397-0343
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132 | CO | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780790287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 SOUTH UNION BLVD",
"address_2": "# 570 WESTSIDE BEHAVIORAL CARE INC",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "80228",
"telephone_number": "303-397-0343",
"fax_number": "303-986-4973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 SOUTH UNION BLVD",
"address_2": "# 570 WESTSIDE BEHAVIORAL CARE INC",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "80228",
"telephone_number": "303-397-0343",
"fax_number": "303-986-4973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKERT",
"first_name": "JAMES",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "LICD PROF COUNSELOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.