Corky St. James, LADAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

3888 Issued in NM

Practice address

3150 Carlisle Blvd NE
22
Albuquerque, NM 87110-1678

Phone

(505) 830-6030

Fax

(505) 830-6031

NPI assigned

Aug 28, 2012

Last updated

Aug 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ravensnow L.L.C.

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1497000954
  NPD (past) Authorized official
• Sage Bear Counseling, LLC

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1114385952
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1952659658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 CARLISLE BLVD. N.E.",
            "address_2": "22",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101679",
            "telephone_number": "505-830-6030",
            "fax_number": "505-830-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CARLISLE BLVD NE",
            "address_2": "22",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101678",
            "telephone_number": "505-830-6030",
            "fax_number": "505-830-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JAMES",
        "first_name": "CORKY",
        "credential": "LADAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "3888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Martins
• St Vincent Hospital
• St. Anthony's Home Healthcare Service, LLC
• St. Catherine Healthcare and Rehabilitation Center, LLC (St. Catherine Healthcare and Rehabilitation Center)
• St. Christopher Inc
• St. John Healthcare and Rehabilitation Center, LLC (St. John Healthcare and Rehabilitation Center)
• St. Martin's
• St. Martin's Hospitality Center
• St. Martin's Hospitality Center
• St. Martin's Hospitality Center

• Addiction (Substance Use Disorder) Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.