Brandon Andre Jevon James, LCMHC,LCAS-A, CRC
Counselor, Mental Health in Winston Salem, NC. Individual provider (NPI-1).
NPI number1194239665
StatusActive
Last updated in NPPESMar 17, 2021
Details
- NPI
- 1194239665
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brandon Andre Jevon James
- Credential
- LCMHC,LCAS-A, CRC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2017
- Certification date
- Nov 17, 2020
- Last updated
- Mar 17, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 13179 | NC | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 23683 | NC | |
| 225C00000X | Rehabilitation Counselor | 00188145 | NC |
Practice location
1922 S Martin Luther King Jr Dr Ste 225Winston Salem, NC 27107-1361
Phone 336-464-3136 · Fax 336-734-6917
Mailing address
4626 West Market Street Suite C Po Box 229Greensboro, NC 27407
Phone 336-814-6524 · Fax 336-355-9619
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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