RAFAEL JAMES LCSW
NPI 1467697151
Social Worker - Clinical in Escondido, CA

Q: What is Rafael James's NPI number?

The NPI number for Rafael James is 1467697151. It was assigned to this individual provider in the NPPES registry on December 9, 2008.

Q: What is Rafael James's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rafael James was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since December 09, 2008PECOS Enrolled

500 LA TERRAZA BLVD STE 150, ESCONDIDO, CA 92025(858) 282-6117 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 24, 2025, Nov 13, 2024, Aug 8, 2024 and 3 more (6 updates tracked since 2016).

On this page

About Rafael James Lcsw NPPES

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

RAFAEL JAMES LCSW (NPI 1467697151) is an individual clinical provider in Escondido, California, licensed in New York (R0405341) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1467697151

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameRAFAEL JAMESCredential: LCSW

Location Address500 LA TERRAZA BLVD STE 150Escondido, CA 92025-3876

Mailing Address224 Saxony EDelray Beach, FL 33446-1844 · (858) 282-6117

Phone(858) 282-6117

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateDecember 9, 2008

Last NPPES UpdateFebruary 24, 20256 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2025

✔ NPI 1467697151 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 NY · R0405341

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 · Mental HealthTaxonomy 101YM0800X · License 70535 (CA)

500 LA TERRAZA BLVD STE 150, Escondido, CA 92025

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Secondary Practice Locations 2

Location 1224 Saxony EDelray Beach, FL 33446-1844 · Phone (858) 282-6117

Location 21840 Crompond Rd Apt 2A3Peekskill, NY 10566-4137 · Phone (858) 282-6117

Other Identifiers 2

OtherR040534-01NY · The University Of The State Of Ny Education Department Office Of Professions

OtherSW21387FL · State Of Florida Department Of Health Division Of Medical Quality Assurance

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rafael James Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527123603

PECOS Enrollment IDI20231107001797

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 Reassignments

Medicare enrollment records show Rafael James reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jewish Family Service Of San Diego

20 mi

Voluntary or Charitable

8804 BALBOA AVE
San Diego, CA 92123

Reassigned Medicare billing, California enrollment
3 clinicians in this Medicare group

NPI 1760477467 (858) 637-3000

Sondermind PC

389 mi

Clinical

6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119

Reassigned Medicare billing, California enrollment
81 clinicians in this Medicare group

NPI 1003646977 (844) 843-7279

Center For Empathy & Healing, Inc.

2,255 mi

Clinical

224 SAXONY E
Delray Beach, FL 33446

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: San Diego Center For Integrated Healing Inc

NPI 1366894651 (858) 282-6117

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 92025 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 $62.10 – $184.71

Typical copayment $0.00 (range $15.52 – $46.17)

Most-billed visit code NA

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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 6

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

ANDRE-PAUL JOSEPH MCPHERSON

Counselor (Mental Health)

500 LA TERRAZA BLVD STE 150
ESCONDIDO, CA 92025

San Diego County (760) 294-1188

MRS. ROBIN RACHEL ANDERSEN LMFT

Marriage & Family Therapist

500 LA TERRAZA BLVD STE 150, #8179
ESCONDIDO, CA 92025

San Diego County (760) 701-1701

F.I.R.E. IGNITING LIVES PSYCHOLOGY

Community/Behavioral Health

500 LA TERRAZA BLVD STE 150
ESCONDIDO, CA 92025

San Diego County (760) 478-6863

JULIANA CARO MA

Psychologist

500 LA TERRAZA BLVD STE 150
ESCONDIDO, CA 92025

San Diego County (323) 230-3540

AHPC SAN DIEGO INC

Hospice Care, Community Based

500 LA TERRAZA BLVD STE 150
ESCONDIDO, CA 92025

San Diego County (760) 232-6788

CHRIS SAINDON

Student in an Organized Health Care Education/Training Program

500 LA TERRAZA BLVD STE 150
ESCONDIDO, CA 92025

San Diego County (619) 840-7882

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 Rafael James's NPI number?

The NPI number for Rafael James is 1467697151. It was assigned to this individual provider in the NPPES registry on December 9, 2008.

Where is Rafael James located?

Rafael James practices at 500 La Terraza Blvd Ste 150, Escondido, CA 92025. The listed phone number is (858) 282-6117.

What is Rafael James's specialty?

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

Is Rafael James enrolled in Medicare?

Yes. Rafael James is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rafael James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael James reassigns Medicare benefits to 3 organizations: Jewish Family Service Of San Diego (San Diego, CA), Sondermind PC (San Jose, CA) and Center For Empathy & Healing, Inc. (Delray Beach, FL). Each 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 Rafael James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rafael James accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Rafael 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 Rafael James was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.