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MR. JAMES LEONARD HAINES-BURNHAM LCSW-R
NPI 1699894998
Social Worker - Clinical in Ithaca, NY

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment
415 N TIOGA ST, ITHACA, NY 14850(607) 342-6219 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. James Leonard Haines-burnham Lcsw-r NPPES

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

MR. JAMES LEONARD HAINES-BURNHAM LCSW-R (NPI 1699894998) is an individual clinical provider in Ithaca, New York, licensed in New York (R061504) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1699894998
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JAMES LEONARD HAINES-BURNHAMCredential: LCSW-R
Location Address415 N TIOGA STIthaca, NY 14850-4228
Mailing Address512 Utica StIthaca, NY 14850-3642 · (607) 342-6219
Phone(607) 342-6219
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1699894998 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 NY · R061504
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.
415 N TIOGA ST, Ithaca, NY 14850
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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

Mr. James Leonard Haines-burnham Lcsw-r 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 ID9739314931
PECOS Enrollment IDI20170505000286
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

2

Medicare enrollment records show James Haines-burnham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shakespeare & Muscente Lcsw, PLLC
0.2 mi
Community/Behavioral Health
122 W COURT ST STE 109
Ithaca, NY 14850
  • Reassigned Medicare billing, New York enrollment
  • 7 clinicians in this Medicare group
NPI 1609015536 (607) 256-4422
Tompkins County
0.4 mi
Mental Health (Including Community Mental Health Center)
201 E GREEN ST
Ithaca, NY 14850
  • Reassigned Medicare billing, New York enrollment
  • 20 clinicians in this Medicare group
NPI 1588686596 (607) 274-6305

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 14850 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 4

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

MS. PATRICIA A. DEMATTEO LCSW
Social Worker (Clinical)
415 N TIOGA ST
ITHACA, NY 14850
Tompkins County (607) 272-7247
MS. KRISTINE ANN GRIMES BERTELSEN LMHC
Counselor (Mental Health)
415 N TIOGA ST, SECOND FLOOR
ITHACA, NY 14850
Tompkins County (607) 272-7247
MS. MARY LAUPPE MA
Counselor (Mental Health)
415 N TIOGA ST
ITHACA, NY 14850
Tompkins County (607) 280-1198
JONATHAN AMES PHD
Psychologist
415 N TIOGA ST, #205
ITHACA, NY 14850
Tompkins County (607) 273-1097

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 Haines-burnham's NPI number?

The NPI number for James Haines-burnham is 1699894998. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is James Haines-burnham located?

James Haines-burnham practices at 415 N Tioga St, Ithaca, NY 14850. The listed phone number is (607) 342-6219.

What is James Haines-burnham's specialty?

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

Is James Haines-burnham enrolled in Medicare?

Yes. James Haines-burnham 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 organizations bill Medicare for James Haines-burnham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Haines-burnham reassigns Medicare benefits to 2 organizations: Shakespeare & Muscente Lcsw, PLLC (Ithaca, NY) and Tompkins County (Ithaca, NY). 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 James Haines-burnham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Haines-burnham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.