Clea Rose Mirza James

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.001303 Issued in IL

Practice address

5215 N Ravenswood Ave Ste 211
Chicago, IL 60640-1670

Phone

(312) 767-7855

NPI assigned

Feb 21, 2017

Last updated

Jul 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Clea Rose Hoskins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 1, 2025 through Dec 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clea Mirza James LMFT PLLC

  • Marriage & Family Therapist
  • Chicago, IL
  • NPI 1114588183
  NPD Authorized official

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1821537978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 N RAVENSWOOD AVE STE 211",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401670",
            "telephone_number": "312-767-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 N RAVENSWOOD AVE STE 211",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401670",
            "telephone_number": "312-767-7855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 Library Pl",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602012908",
            "country_code": "US",
            "telephone_number": "847-733-4300 x839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "636 Church St Ste 309",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "60201",
            "country_code": "US",
            "telephone_number": "312-767-7855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "CLEA",
        "middle_name": "ROSE MIRZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208.000615",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLEA",
            "last_name": "HOSKINS",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cailin James
• Carson Daniel James, LMHP
• Charles James, M.D.
• Christine Erin-Donna James
• Chrystina James, MD
• Cyana James
• Danielle James, PHARMD
• Deyonna Gina James, RN
• Dominic James, APNP
• Dominique Alexander James, LPC

• Marriage & Family Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.