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LAUREN JAMES MSW
NPI 1528519303
Counselor - Mental Health in Middletown, OH

Active since October 17, 2016PECOS EnrolledAccepts Medicare Assignment
4464 S DIXIE HWY, MIDDLETOWN, OH 45005(136) 498-0085(513) 649-8004 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2024, Nov 11, 2016, Oct 25, 2016 and 1 more (4 updates tracked since 2016).

About Lauren James Msw NPPES

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

LAUREN JAMES MSW (NPI 1528519303) is an individual mental health provider in Middletown, Ohio, licensed in California (ASW74122) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1528519303
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLAUREN JAMESCredential: MSW
Location Address4464 S DIXIE HWYMiddletown, OH 45005-5464
Mailing Address4464 S Dixie HwyMiddletown, OH 45005-5464 · (513) 649-8008 · Fax (513) 649-8004
Phone(136) 498-0085
Fax(513) 649-8004
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 17, 2016
Last NPPES UpdateSeptember 17, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1528519303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · ASW74122
4464 S DIXIE HWY, Middletown, OH 45005
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Molina Healthcare.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

Lauren James Msw 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 ID8426464082
PECOS Enrollment IDI20210304002391
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 Lauren James reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Access Counseling Services LLC
Same address
Community/Behavioral Health
4464 S DIXIE HWY
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 32 clinicians in this Medicare group
NPI 1073884524 (513) 649-8008

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

Other Providers at the Same Location NPPES 20

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

LISA IGO PCC LCDCIII
Counselor (Professional)
4464 S DIXIE HWY
MIDDLETOWN, OH 45005
Warren County (513) 649-8008
DAWNETTA CHAPMAN CASE MANAGER, QMHS
Case Manager/Care Coordinator
4464 S DIXIE HWY
MIDDLETOWN, OH 45005
Warren County (513) 649-8008
JAMI CLARKE
Social Worker
4464 S DIXIE HWY
MIDDLETOWN, OH 45005
Warren County (513) 649-8008
TARA STEPHEN
Social Worker
4464 S DIXIE HWY
MIDDLETOWN, OH 45005
Warren County (513) 649-8008
JOANN T TURNER LPCC
Counselor (Mental Health)
4464 S DIXIE HWY
MIDDLETOWN, OH 45005
Warren County (513) 649-8008
THOMAS TSUEDA
Registered Nurse
4464 S DIXIE HWY
MIDDLETOWN, OH 45005
Warren County (513) 649-8008
ROBERT FRENCH
Counselor
4464 S DIXIE HWY
MIDDLETOWN, OH 45005
Warren County (513) 649-8008
TIMOTHY EASTERLING
Counselor (Professional)
4464 S DIXIE HWY
MIDDLETOWN, OH 45005
Warren County (513) 649-8008

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 Lauren James's NPI number?

The NPI number for Lauren James is 1528519303. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Where is Lauren James located?

Lauren James practices at 4464 S Dixie Hwy, Middletown, OH 45005. The listed phone number is (136) 498-0085.

What is Lauren James's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lauren James enrolled in Medicare?

Yes. Lauren 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 Lauren James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren James reassigns Medicare benefits to Access Counseling Services LLC (Middletown, OH). 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 Lauren James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren James accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual and Molina Healthcare list Lauren 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 Lauren James was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.