Active NPI
James L. Allen, MA LPC
- Professional Counselor
- Chewelah, WA
National Provider Identifier
1952585192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LH00005560
- Practice address
- 1101 Wild Rose LN
Chewelah, WA 99109-9038 - Phone
- (509) 675-4095
- NPI assigned
- Dec 24, 2007
- Last updated
- Jul 22, 2009
- 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 | LH00005560 | WA | Primary |
Addresses
Primary practice location
1101 Wild Rose LN
Chewelah, WA 99109-9038
Mailing address
1101 Wild Rose LN
Chewelah, WA 99109-9038
Phone (509) 675-4095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LH00005560 | Medicaid | WA |
Other names 1
- Jim L. Allen
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00005560 | WA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248220800000",
"number": "1952585192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 WILD ROSE LN",
"city": "CHEWELAH",
"state": "WA",
"postal_code": "991099038",
"telephone_number": "509-675-4095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 WILD ROSE LN",
"city": "CHEWELAH",
"state": "WA",
"postal_code": "991099038",
"telephone_number": "509-675-4095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JAMES",
"middle_name": "L.",
"credential": "MA LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-24",
"last_updated": "2009-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "LH00005560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LH00005560",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JIM",
"last_name": "ALLEN",
"middle_name": "L.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chewelah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.