Individual provider Active NPI

James Lowell Hamilton Jr., LCPC

  • Professional Counselor
  • Champaign, IL
National Provider Identifier
1922308949
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180006772 Issued in IL
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240503000178 IL Practitioner - Mental Health Counselor 7416397773 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Promise Healthcare NFP Current Accepting new patients
Promise Healthcare NFP CurrentSince Mar 23, 2024 Accepting new patients
Promise Healthcare NFP CurrentSince Mar 23, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.