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MR. PAUL ACE JIM III LCSW
NPI 1154791580
Social Worker - Clinical in Mesa, AZ

Active since September 28, 2015PECOS EnrolledAccepts Medicare Assignment
777 W SOUTHERN AVE, MESA, AZ 85210(602) 279-5262(541) 504-1195 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2024, Sep 28, 2015 (2 updates tracked since 2015).

About Mr. Paul Ace Jim Iii Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PAUL ACE JIM III LCSW (NPI 1154791580) is an individual clinical provider in Mesa, Arizona, licensed in Arizona (LCSW-22382) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154791580
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. PAUL ACE JIM IIICredential: LCSW
Location Address777 W SOUTHERN AVEMesa, AZ 85210-5008
Mailing Address777 W Southern Ave Bldg EMesa, AZ 85210-5008 · (602) 279-5262 · Fax (541) 504-1195
Phone(602) 279-5262
Fax(541) 504-1195
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 28, 2015
Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1154791580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AZ · LCSW-22382
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 17-04-09 (OR)
777 W SOUTHERN AVE, Mesa, AZ 85210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Paul Ace Jim Iii Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527509686
PECOS Enrollment IDI20240917003648
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DURINA TAH LCSW
Social Worker
777 W SOUTHERN AVE
MESA, AZ 85210
Maricopa County (602) 279-5262
COMMUNITY DRUGSTORE II LLC
Pharmacy (Community/Retail Pharmacy)
777 W SOUTHERN AVE, 415
MESA, AZ 85210
Maricopa County (480) 464-5472
NATIVE HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
777 W SOUTHERN AVE, BLDG E, STE 501
MESA, AZ 85210
Maricopa County (480) 550-4048
IYAMIDE MAY LMSW
Counselor
777 W SOUTHERN AVE
MESA, AZ 85210
Maricopa County (602) 279-5262
HEATHER BETSKO, LLC
Optometrist
777 W SOUTHERN AVE, SUITE 515
MESA, AZ 85210
Maricopa County (480) 461-3937
DR. HEATHER R BETSKO O.D.
Optometrist
777 W SOUTHERN AVE, SUITE 515
MESA, AZ 85210
Maricopa County (480) 461-3937
XUAN HOANG DMD
Dentist (General Practice)
777 W SOUTHERN AVE
MESA, AZ 85210
Maricopa County (602) 279-5262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Jim's NPI number?

The NPI number for Paul Jim is 1154791580. It was assigned to this individual provider in the NPPES registry on September 28, 2015.

Where is Paul Jim located?

Paul Jim practices at 777 W Southern Ave, Mesa, AZ 85210. The listed phone number is (602) 279-5262.

What is Paul Jim's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Paul Jim enrolled in Medicare?

Yes. Paul Jim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Jim accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Paul Jim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Jim was last updated on July 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.