Individual provider Active NPI

Jimmie K. James, M.S.L.P.C.

  • Professional Counselor
  • Ponca City, OK
National Provider Identifier
1942447719
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1018 Issued in OK
Practice address
118 N Oak St
Suite 1
Ponca City, OK 74601-4238
Phone
(580) 763-7321
NPI assigned
Jan 15, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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 1018 OK Primary

Addresses

Primary practice location

118 N Oak St
Suite 1
Ponca City, OK 74601-4238

Mailing address

2105 Berkshire Dr
Ponca City, OK 74604-2406
Phone (580) 762-7494

Other names 1

  • Kenny James Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: No
  • 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
I20240404004422 OK Practitioner - Mental Health Counselor 3678911948 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kenny James, M.S., L.P.C., P.C., LTD. Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

118 N Oak St
Ponca City, OK 74601
Phone (580) 304-9991

118 N Oak St
Ste 1
Ponca City, OK 74601
Phone (580) 763-7321

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": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1942447719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BERKSHIRE DR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746042406",
            "telephone_number": "580-762-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N OAK ST",
            "address_2": "SUITE 1",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014238",
            "telephone_number": "580-763-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "JIMMIE",
        "middle_name": "K.",
        "credential": "M.S.L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNY",
            "last_name": "JAMES",
            "credential": "M.S.,L.P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.