Individual provider Active NPI

Ronald James, DD

  • Professional Counselor
  • Muskegon, MI
National Provider Identifier
1861807331
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
L2549158 Issued in MI
Practice address
1576 Peck St
Breakthrough Believers Recovery and Healing Center
Muskegon, MI 49441-2547
Phone
(231) 563-0558
NPI assigned
Jun 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X L2549158 MI
Addiction (Substance Use Disorder) Counselor 101YA0400X L2549158 MI
Mental Health Counselor 101YM0800X L2549158 MI
Pastoral Counselor 101YP1600X L2549158 MI
Professional Counselor 101YP2500X L2549158 MI Primary

Addresses

Primary practice location

1576 Peck St
Breakthrough Believers Recovery and Healing Center
Muskegon, MI 49441-2547

Mailing address

1576 Peck St
Breakthrough Believers Recovery and Healing Center
Muskegon, MI 49441-2547
Phone (231) 563-0558

Other identifiers 1

IdentifierTypeStateIssuer
1376866160MedicaidMI

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

State licenses

LicenseStateTypeSpecialty
L2549158MIMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1861807331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 PECK ST",
            "address_2": "BREAKTHROUGH BELIEVERS RECOVERY AND HEALING CENTER",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412547",
            "telephone_number": "231-563-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 PECK ST",
            "address_2": "BREAKTHROUGH BELIEVERS RECOVERY AND HEALING CENTER",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412547",
            "telephone_number": "231-563-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "L2549158",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "L2549158",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "L2549158",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MI",
            "license": "L2549158",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "L2549158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376866160",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.