James Louis Decourley
Peer Specialist in Poplar Bluff, MO. Individual provider (NPI-1).
NPI number1891531380
StatusActive
Last updated in NPPESJul 3, 2024
Details
- NPI
- 1891531380
- Entity type
- Individual (NPI-1)
- Name
- James Louis Decourley
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2024
- Certification date
- Jul 3, 2024
- Last updated
- Jul 3, 2024
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 |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
3001 Warrior LnPoplar Bluff, MO 63901-8685
Phone 573-686-1200
Mailing address
3001 Warrior LnPoplar Bluff, MO 63901-8685
Phone 573-686-1200
Is something wrong?
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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All 38 Peer Specialist providers in Poplar Bluff · All 1,814 providers in Poplar Bluff
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