Individual provider Active NPI

James Walter Watt, CERTIFIED COUNSELOR

  • Counselor
  • Tacoma, WA
National Provider Identifier
1871894923
Registry record updated Sep 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CL60145803 Issued in WA
Practice address
1309 Lenore Dr
Tacoma, WA 98406-1821
Phone
(253) 381-3459
Fax
(253) 650-2000
NPI assigned
Nov 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CL60145803 WA Primary

Addresses

Primary practice location

1309 Lenore Dr
Tacoma, WA 98406-1821

Mailing address

1309 Lenore Dr
Tacoma, WA 98406-1821
Phone (253) 381-3459

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
CL60145803WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Counseling Services Counselor Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567382400000",
    "number": "1871894923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 LENORE DR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984061821",
            "telephone_number": "253-381-3459",
            "fax_number": "253-650-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 LENORE DR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984061821",
            "telephone_number": "253-381-3459",
            "fax_number": "253-650-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATT",
        "first_name": "JAMES",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "CERTIFIED COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-05",
        "last_updated": "2019-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CL60145803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2019; 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.