JAMES MICHAEL ESTES LCSW
NPI 1659843407
Social Worker - Clinical in Somerset, KY

Active since December 18, 2018PECOS Enrolled
3540 S HIGHWAY 27 STE 4, SOMERSET, KY 42501(606) 679-1815(606) 451-1631 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 2, 2025, May 11, 2024, Jul 19, 2022 and 1 more (4 updates tracked since 2018).

About James Michael Estes Lcsw NPPES

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

JAMES MICHAEL ESTES LCSW (NPI 1659843407) is an individual clinical provider in Somerset, Kentucky, licensed in Kentucky (253724) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659843407
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJAMES MICHAEL ESTESCredential: LCSW
Location Address3540 S HIGHWAY 27 STE 4Somerset, KY 42501-3124
Mailing Address10100 Elida RdDelphos, OH 45833-9056 · (419) 695-8010 · Fax (419) 932-6232
Fax(606) 451-1631
Sole ProprietorNo
Enumeration DateDecember 18, 2018
Last NPPES UpdateJuly 2, 20254 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
NPI 1659843407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in KY · 253724
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 253724 (KY)
Also ListedSocial WorkerTaxonomy 104100000X · License 253724 (KY)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 253724 (KY)
3540 S HIGHWAY 27 STE 4, Somerset, KY 42501

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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 42501 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 20

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

Case Manager/Care Coordinator
3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
Counselor
3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
Case Manager/Care Coordinator
3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
Counselor (Mental Health)
3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
Case Manager/Care Coordinator
3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
Case Manager/Care Coordinator
3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
Social Worker
3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
Case Manager/Care Coordinator
3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501

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 James Estes's NPI number?

The NPI number for James Estes is 1659843407. It was assigned to this individual provider in the NPPES registry on December 18, 2018.

Where is James Estes located?

James Estes practices at 3540 S Highway 27 Ste 4, Somerset, KY 42501. The listed phone number is (606) 679-1815.

What is James Estes's specialty?

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

Is James Estes enrolled in Medicare?

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

What insurance does James Estes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Texas and 1 other insurer list James Estes 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 James Estes was last updated on July 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.