MR. JERRALD TOM JAMES


Address: 475 E 20th St Ste D, Farmington, NM 87401-2132
Phone: 5053270293

MR. JERRALD TOM JAMES (NPI# 1265077275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265077275
Entity Type Individual
Full Name MR. JERRALD TOM JAMES
Credential LADAC, LMSW
Practice Address 475 E 20th St Ste D
Farmington
NM 87401-2132
Practice Telephone 5053270293
Practice Fax Number 5055644925
Mailing Telephone 5053270293
Mailing Fax Number 5055644925
Enumeration Date 2019-11-13
Last Update Date 2019-11-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CAD0205831 NM Behavioral Health & Social Service Providers

Office Location

Street Address 475 E 20TH ST STE D
City FARMINGTON
State NM
Zip Code 87401-2132

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164035192 Jaylene Miller Behavior Technician 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 2020-08-28
1255940326 John Andrew Martinez Behavioral Analyst 211 N Auburn, Farmington, NM 87401 2020-07-24
1598304990 Chasitity Beulah Nez Behavior Technician 37 Rd 7101 #127, Farmington, NM 87401 2020-01-02
1205478575 Micah Magee Speech-Language Pathologist Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 2019-10-08
1831659754 Lelilah Todacheene Social Worker 1204 Camina Real, Farmington, NM 87401 2019-03-25
1306323555 Litany of Life Counselor 1010 Ridgeway Place, Farmington, NM 87401 2018-07-20
1093291213 Brittany Bigham Nurse Practitioner 1001 W Broadway Ste E, Farmington, NM 87401 2018-07-11
1528556305 Hairoun Home Health Home Health 1200 East 20th Street, Farmington, NM 87401 2018-04-26
1003338732 Silver Tongue Speech & Voice, LLC Clinic/Center 3001 Northridge Dr Ste C, Farmington, NM 87401 2017-07-14
1902256621 Capacity Builders Inc Taxi 418 W Broadway, Farmington, NM 87401 2016-06-14
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063071041 Daphnie Cummins Counselor 653 W Arrington St, Farmington, NM 87401-8513 2019-06-12
1306323555 Litany of Life Counselor 1010 Ridgeway Place, Farmington, NM 87401 2018-07-20
1801327614 Holly Gregory Counselor 216 E Apache St, Farmington, NM 87401-6904 2017-03-23
1306382007 Lisa Lippold Counselor 20333 Enright Way, Farmington, MN 55024-2022 2017-01-18
1922455609 Second Chance Counseling, LLC Counselor 719 W Apache St, Farmington, NM 87401-5512 2016-05-23
1790131977 Shawna B Riley Counselor 1313 Mission Ave, Farmington, NM 87401 2016-05-06
1437516911 Ann Cushing Counselor 253 Fairbanks Rd, Farmington, ME 04938-5723 2016-01-28
1922499136 Masada House Inc Counselor 610 N Dustin Ave, Farmington, NM 87401 2015-02-10
1194128603 Ag Counseling LLC Counselor 769 Farmington Ave, Farmington, CT 06032-2310 2014-09-29
1942544630 Mark Ernest Wardlow Jr. Counselor 1528 Highway H, Farmington, MO 63640-7042 2012-11-19
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Competitor

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City FARMINGTON
Zip Code 87401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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