Active NPI
James Lowell Hamilton Jr., LCPC
- Professional Counselor
- Champaign, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180006772
- Practice address
- 1701 S Prospect Ave
Suite 101
Champaign, IL 61820-7050 - Phone
- (217) 607-0916
- Fax
- (217) 607-0920
- NPI assigned
- Oct 25, 2010
- Last updated
- Mar 18, 2011
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180006772 | IL | Primary |
Addresses
Primary practice location
1701 S Prospect Ave
Suite 101
Champaign, IL 61820-7050
Mailing address
1701 S Prospect Ave
Suite 101
Champaign, IL 61820-7050
Phone (217) 607-0916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promise Healthcare NFP | Current | Accepting new patients | |
| Promise Healthcare NFP | Current | Accepting new patients | |
| Promise Healthcare NFP | Current | Accepting new patients | |
| Jim Hamilton Counseling and Therapy Company | Professional | Past | Accepting new patients |
Locations
819 Bloomington Rd
Champaign, IL 61820
Phone (217) 356-1558
821 S Neil St
Champaign, IL 61820
Phone (217) 356-1558
Interoperability endpoints
- james.hamilton.p11@direct.fhn-fqhc.nextgenshare.com
Organizations & group practices 4
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.
-
dba Frances Nelson Health Center
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1578821005
-
dba Hamilton Counseling and Therapy
- Professional Counselor
- Champaign, IL
- NPI 1992007231
-
dba Promise Healthcare - Ready School
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1801687728
-
dba Promise Healthcare at the USBHC
- Federally Qualified Health Center (FQHC)
- Urbana, IL
- NPI 1952894180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1922308949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 S PROSPECT AVE",
"address_2": "SUITE 101",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207050",
"telephone_number": "217-607-0916",
"fax_number": "217-607-0920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S PROSPECT AVE",
"address_2": "SUITE 101",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207050",
"telephone_number": "217-607-0916",
"fax_number": "217-607-0920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "JAMES",
"middle_name": "LOWELL",
"name_suffix": "Jr.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-25",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180006772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.