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JANICE KAY JAMES
NPI 1396234035
Social Worker - Clinical in Lexington, KY

Active since May 08, 2018PECOS EnrolledAccepts Medicare Assignment
1524 VERSAILLES RD, LEXINGTON, KY 40504(859) 252-2002(859) 252-2592 Get Directions Write a Review

NPPES record last updated: May 8, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Janice Kay James NPPES

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

JANICE KAY JAMES (NPI 1396234035) is an individual clinical provider in Lexington, Kentucky, licensed in Kentucky (644) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1396234035
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJANICE KAY JAMES
Location Address1524 VERSAILLES RDLexington, KY 40504-2406
Mailing AddressPo Box 6Lexington, KY 40588-0006 · (859) 252-2002 · Fax (859) 252-2002
Phone(859) 252-2002
Fax(859) 252-2592
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateMay 8, 2018
✔ NPI 1396234035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 644
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.
1524 VERSAILLES RD, Lexington, KY 40504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Janice Kay James 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 ID2264751635
PECOS Enrollment IDI20230824003595
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.

Medicare Billing Reassignment

Medicare enrollment records show Janice James reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake Cumberland Regional Mental Health Mental Retardation Board, Inc.
70 mi
Community/Behavioral Health
130 SOUTHERN SCHOOL RD
Somerset, KY 42501
  • Reassigned Medicare billing, Kentucky enrollment
  • 48 clinicians in this Medicare group
NPI 1336172642 (606) 679-4782

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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 $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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

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

STEPHANIE M. RAGLIN LCADC
Counselor (Addiction (Substance Use Disorder))
1524 VERSAILLES RD
LEXINGTON, KY 40504
Fayette County (859) 252-2002

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 Janice James's NPI number?

The NPI number for Janice James is 1396234035. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Where is Janice James located?

Janice James practices at 1524 Versailles Rd, Lexington, KY 40504. The listed phone number is (859) 252-2002.

What is Janice James's specialty?

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

Is Janice James enrolled in Medicare?

Yes. Janice James 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.

Which organization bills Medicare for Janice James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janice James reassigns Medicare benefits to Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. (Somerset, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Janice James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Janice James accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Janice James 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 Janice James was last updated on May 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.