Individual provider Active NPI

James Nicholous Harper IV, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1972837276
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11663-C Issued in NV
Practice address
1799 Mount Mariah Dr
Las Vegas, NV 89106-1501
Phone
(702) 383-1961
NPI assigned
Sep 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C015122 NC
Clinical Social Worker 1041C0700X 11663-C NV Primary

Addresses

Primary practice location

1799 Mount Mariah Dr
Las Vegas, NV 89106-1501

Mailing address

1799 Mount Mariah Dr
Las Vegas, NV 89106-1501
Phone (702) 383-1961

Other practice location 1

6231 Heather Creek Pl
Las Vegas, NV 89122-3650
Phone (919) 491-8574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190117003270 CO Practitioner - Clinical Social Worker 1254612138 Reassigns benefits to 1 organization
I20220816001279 MO Practitioner - Clinical Social Worker 1254612138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C015122NCMDClinical Social Worker
11663-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Health Centers, Inc Current Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 1, 2022 Accepting new patients
Nevada Health Centers Inc CurrentSince Aug 5, 2024 Accepting new patients
Nevada Health Centers, Inc CurrentSince Aug 5, 2024 Accepting new patients
Compass Behavioral Health PastSince Jun 4, 2023 Accepting new patients

Locations

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

107 W 9th St
Fl 2
Kansas City, MO 64105
Phone (505) 382-2776

4625 Lindell Blvd
Ste 200300
Saint Louis, MO 63108
Phone (314) 396-7900

1690 E Amargosa Farm Rd
Amargosa Valley, NV 89020
Phone (775) 372-5432

3325 Research Way
Carson City, NV 89706
Phone (775) 887-5140

618 W Musser St
Carson City, NV 89703
Phone (775) 445-3500

762 14th St
Elko, NV 89801
Phone (775) 738-5850

1799 Mount Mariah Dr
Las Vegas, NV 89106
Phone (702) 383-1961

3900 Cambridge St
Ste 102
Las Vegas, NV 89119
Phone (702) 307-5415

Organizations & group practices 5

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": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1972837276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 MOUNT MARIAH DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061501",
            "telephone_number": "702-383-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 MOUNT MARIAH DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061501",
            "telephone_number": "702-383-1961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6231 Heather Creek Pl",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891223650",
            "country_code": "US",
            "telephone_number": "919-491-8574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARPER",
        "first_name": "JAMES",
        "middle_name": "NICHOLOUS",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-21",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015122",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11663-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.