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MR. JAMES J KARAGON LMSW
NPI 1831101930
Social Worker - Clinical in Detroit, MI

Active since August 13, 2006PECOS Enrolled
555 BRUSH ST, 2406, DETROIT, MI 48226(313) 962-4075 Get Directions Write a Review

NPPES record last updated: September 24, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. James J Karagon Lmsw NPPES

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

MR. JAMES J KARAGON LMSW (NPI 1831101930) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6801007876) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1831101930
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JAMES J KARAGONCredential: LMSW
Location Address555 BRUSH ST, 2406Detroit, MI 48226-4348
Mailing AddressPo Box 441675Detroit, MI 48244-1675 · (313) 962-4075
Phone(313) 962-4075
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateAugust 13, 2006
Last NPPES UpdateSeptember 24, 2012
✔ NPI 1831101930 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 MI · 6801007876
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.
555 BRUSH ST, Detroit, MI 48226
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINR67832
Medicare ID-Type UnspecifiedOP21940

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health 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)

Mr. James J Karagon Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416853320
PECOS Enrollment IDI20031211000053
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 James Karagon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

James Karagon PC
Same address
Clinical
555 BRUSH ST, 2406
Detroit, MI 48226
  • Reassigned Medicare billing, Michigan enrollment
NPI 1851494439 (313) 962-4075

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
122 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48226 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

MRS. SHAWANNA WRIGHT MASSAGE THERAPIST
Specialist
555 BRUSH ST, #1406
DETROIT, MI 48226
Wayne County (313) 964-7941
MS. ANTHYONETTE ROYCE WASHINGTON M.S.
Counselor (Addiction (Substance Use Disorder))
555 BRUSH ST, SUITE 805
DETROIT, MI 48226
Wayne County (313) 965-6118
ZAKIYA O ANTOINE DO PLLC
Internal Medicine
555 BRUSH ST, 1711
DETROIT, MI 48226
Wayne County (313) 262-6068
JAMES KARAGON PC
Social Worker (Clinical)
555 BRUSH ST, 2406
DETROIT, MI 48226
Wayne County (313) 962-4075

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 Karagon's NPI number?

The NPI number for James Karagon is 1831101930. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is James Karagon located?

James Karagon practices at 555 Brush St 2406, Detroit, MI 48226. The listed phone number is (313) 962-4075.

What is James Karagon's specialty?

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

Is James Karagon enrolled in Medicare?

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

Which organization bills Medicare for James Karagon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Karagon reassigns Medicare benefits to James Karagon PC (Detroit, MI). 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 James Karagon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Karagon accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list James Karagon 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 Karagon was last updated on September 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.