MR. JAMES MAXIE JR. (NPI# 1952898280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952898280 |
| Entity Type | Individual |
| Full Name | MR. JAMES MAXIE JR. |
| Credential | MA,QMHP-CS |
| Practice Address |
200 N Thomas Dr Shreveport LA 71107-6503 |
| Mailing Address |
1840 Logan St Shreveport LA 71101-2316 |
| Practice Telephone | 3185733942 |
| Mailing Telephone | 3185733942 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2019-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LA | Behavioral Health & Social Service Providers | |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LA | Behavioral Health & Social Service Providers | |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
LA | Respite Care Facility | |
| Y | 171M00000X | Case Manager/Care Coordinator | LA | Other Service Providers | |
| N | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0000000 | 05 | |
| LA | 11023 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5490 Braesvally Drive Apt#370, Houston, TX 77096 | (318) 573-3942 |
| Street Address |
200 N THOMAS DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71107-6503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083836407 | Contemporary Quality Care LLC | Community/Behavioral Health | 200 N Thomas Dr, Shreveport, LA 71107-6520 | 2007-05-03 |
| 1851802383 | Jacqueline Yevette Pouncy | Counselor | 200 N Thomas Dr, Shreveport, LA 71107-6503 | 2017-10-24 |
| 1790203784 | Contemporary Family Services, Inc | Counselor | 200 N Thomas Dr, Shreveport, LA 71107-6503 | 2017-08-30 |
| 1841717881 | Ty'asia Allen | Counselor | 200 N Thomas Dr, Shreveport, LA 71107-6503 | 2017-08-29 |
| 1023539103 | Allamont Bates | Counselor | 200 N Thomas Dr, Shreveport, LA 71107-6503 | 2017-06-29 |
| 1366963423 | Angelica Carter | Counselor | 200 N Thomas Dr, Shreveport, LA 71107-6503 | 2017-06-29 |
| 1164957007 | Satonia Small | Counselor | 200 N Thomas Dr, Shreveport, LA 71107-6503 | 2017-04-28 |
| 1477088318 | Kiauwanna Davis | Counselor | 200 N Thomas Dr, Shreveport, LA 71107-6503 | 2017-04-28 |
| 1235661323 | Kewon Hikeem Ferrell | Counselor | 200 N Thomas Dr, Shreveport, LA 71107-6503 | 2017-03-29 |
| 1477093060 | Innis Addison | Counselor | 200 N Thomas Dr, Suite 100, Shreveport, LA 71107-6503 | 2017-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490875 | Kimber Leigh Lumley | Registered Nurse | 1440 Hawn Ave., Shreveport, LA 71107 | 2019-08-01 |
| 1871063461 | Nicole Capito | Case Manager/Care Coordinator | 200 North Thomas Drive Ste 1, Shreveport, LA 71107 | 2018-11-27 |
| 1891260899 | Danielle Leigh Dreher | Dental Assistant | 3610 Gorman Rd, Shreveport, LA 71107 | 2018-10-05 |
| 1255817540 | Shirley Marie Washington | Technician | 3227 Old Mooringsport Rd., Shreveport Rd, LA 71107 | 2018-07-19 |
| 1366928467 | Katrina L Bailey | Case Manager/Care Coordinator | 1111 Hawn Ave Apt A, Shreveport, LA 71107 | 2018-07-12 |
| 1063907970 | James Mcneely IIi | Public Health or Welfare | 5922 Alaska Ln, Shreveport, LA 71107 | 2018-06-25 |
| 1528560067 | Jacarie Guice | Case Manager/Care Coordinator | 4601 N. Market Ste 2, Shreveport, LA 71107 | 2018-03-01 |
| 1467971069 | Tracy Renard Harris | Counselor | 1149 Englemeade Dr, Shreveport, LA 71107 | 2017-09-14 |
| 1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
| 1356871164 | Hope4youth | Voluntary or Charitable | 2850 King Oaks Loop, Shreveport, LA 71107 | 2017-06-14 |
| Find all providers in zip 71107 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360887 | Halena Jones | Case Manager/Care Coordinator | 9409 Chaparral Ln, Shreveport, LA 71118-4337 | 2020-09-11 |
| 1598376196 | Michaela Nicole Bradley | Case Manager/Care Coordinator | 10021 Stratmore Cir, Shreveport, LA 71115-3416 | 2020-08-17 |
| 1619585791 | Kimberly Bissell | Case Manager/Care Coordinator | 7505 Pines Rd Ste 1115, Shreveport, LA 71129-3900 | 2020-07-15 |
| 1902414170 | Unique Lashae Lister | Case Manager/Care Coordinator | 2611 Corbitt St, Shreveport, LA 71108-2805 | 2020-07-14 |
| 1407474828 | Angela Harris | Case Manager/Care Coordinator | 1111 W 70th St Apt 93, Shreveport, LA 71106-3558 | 2020-07-13 |
| 1669096921 | Ryan Barham | Case Manager/Care Coordinator | 824 Oneonta St, Shreveport, LA 71106-1130 | 2020-06-02 |
| 1922621085 | Julian White | Case Manager/Care Coordinator | 8529 Grover Pl, Shreveport, LA 71115-2707 | 2020-05-24 |
| 1396368817 | Shannon Marie Cannon | Case Manager/Care Coordinator | 1543 Summers St, Shreveport, LA 71108-3131 | 2020-05-19 |
| 1730701954 | Brianna Mason | Case Manager/Care Coordinator | 1533 Marshall St, Shreveport, LA 71101-3941 | 2020-05-11 |
| 1295355238 | Angela Rice | Case Manager/Care Coordinator | 2704 Frostwood Dr, Shreveport, LA 71108-5524 | 2020-04-20 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71107 |
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| 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.