Active NPI
James Douglas Nelson, MS
- Counselor
- Spokane, WA
National Provider Identifier
1922076041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CG60122385
- Practice address
- 711 E 3Rd Ave
Spokane, WA 99202-2211 - Phone
- (509) 838-4651
- NPI assigned
- Mar 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Counselor | 101Y00000X | CG60122385 | WA | Primary |
Addresses
Primary practice location
711 E 3Rd Ave
Spokane, WA 99202-2211
Mailing address
107 S Division St
Spokane, WA 99202-1510
Phone (509) 838-4651
Other practice location 1
1970 Main St Ste 3
Sarasota, FL 34236
Phone (941) 366-5333
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60122385 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Behavioral Health | 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.
-
- Community/Behavioral Health Agency
- Spokane, WA
- NPI 1861495327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1922076041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 S DIVISION ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021510",
"telephone_number": "509-838-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 E 3RD AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992022211",
"telephone_number": "509-838-4651"
}
],
"practiceLocations": [
{
"address_1": "1970 Main St Ste 3",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "34236",
"country_code": "US",
"telephone_number": "941-366-5333",
"fax_number": "941-552-2079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "JAMES",
"middle_name": "DOUGLAS",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG60122385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.