Individual provider Active NPI

Jeffrey Samuel James, MS, LMFT, CAP

  • Marriage & Family Therapist
  • Deland, FL
National Provider Identifier
1982845434
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2270 Issued in FL
Practice address
990 N Woodland Blvd
Ste. 201
Deland, FL 32720-2764
Phone
(386) 848-0947
Fax
(386) 668-8728
NPI assigned
Mar 12, 2009
Last updated
Mar 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT2270 FL Primary

Addresses

Primary practice location

990 N Woodland Blvd
Ste. 201
Deland, FL 32720-2764

Mailing address

990 N Woodland Blvd
Ste. 201
Deland, FL 32720-2764
Phone (386) 848-0947

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MT2270FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1982845434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 N WOODLAND BLVD",
            "address_2": "STE. 201",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202764",
            "telephone_number": "386-848-0947",
            "fax_number": "386-668-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 N WOODLAND BLVD",
            "address_2": "STE. 201",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202764",
            "telephone_number": "386-848-0947",
            "fax_number": "386-668-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "JEFFREY",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "MS, LMFT, CAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.