Organization Active NPI

Shannon James LLC

  • Community/Behavioral Health Agency
  • Wauwatosa, WI
National Provider Identifier
1982212551
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHANNON JAMES LLC
Practice address
9730 W Bluemound Rd Ste 11
Wauwatosa, WI 53226-4455
Phone
(414) 336-0525
Fax
(414) 930-2986
NPI assigned
Jul 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Shannon James, LCSWNPI 1174038954
Title
Owner
Phone
(414) 336-0525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9730 W Bluemound Rd Ste 11
Wauwatosa, WI 53226-4455

Mailing address

918 E North Ave
Milwaukee, WI 53212-3448
Phone (414) 336-0525

Other identifiers 1

IdentifierTypeStateIssuer
10004541MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shannon@smjameslcsw.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Shannon James LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9730 W Bluemound Rd
Ste 11
Wauwatosa, WI 53226
Phone (414) 336-0525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1982212551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 E NORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123448",
            "telephone_number": "414-336-0525",
            "fax_number": "414-930-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 W BLUEMOUND RD STE 11",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264455",
            "telephone_number": "414-336-0525",
            "fax_number": "414-930-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON JAMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-336-0525",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10004541",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon@smjameslcsw.com",
            "affiliation": "N",
            "endpointDescription": "LLC Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Gmail",
            "address_1": "9730 W Bluemound Rd Ste 11",
            "city": "Wauwatosa",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532264455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.