Active NPI
Effie Dee James Jr., BA, LCDCII
- Addiction (Substance Use Disorder) Counselor
- Mansfield, OH
National Provider Identifier
1912495078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 150050
- Practice address
- 400 Bowman St
Mansfield, OH 44903-1235 - Phone
- (419) 525-3525
- NPI assigned
- Apr 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 150050 | OH | Primary |
Addresses
Primary practice location
400 Bowman St
Mansfield, OH 44903-1235
Mailing address
100 Elmridge Rd
Mansfield, OH 44907-2442
Phone (419) 544-3265
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150050 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1912495078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ELMRIDGE RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449072442",
"telephone_number": "419-544-3265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BOWMAN ST",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449031235",
"telephone_number": "419-525-3525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "EFFIE",
"middle_name": "DEE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "BA, LCDCII",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-24",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "150050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.