Active NPI
Pamela Moody
- Professional Counselor
- Clinton, MD
National Provider Identifier
1003224304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCP5663
- Practice address
- 9314 Piscataway Rd
Room 152
Clinton, MD 20735-3630 - Phone
- (301) 856-9512
- Fax
- (301) 856-9589
- NPI assigned
- Jul 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCP5663 | MD | Primary |
Addresses
Primary practice location
9314 Piscataway Rd
Room 152
Clinton, MD 20735-3630
Mailing address
9314 Piscataway Rd
Room 152
Clinton, MD 20735-3630
Phone (301) 856-9512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCP5663 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406678400000",
"number": "1003224304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9314 PISCATAWAY RD",
"address_2": "ROOM 152",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353630",
"telephone_number": "301-856-9512",
"fax_number": "301-856-9589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9314 PISCATAWAY RD",
"address_2": "ROOM 152",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353630",
"telephone_number": "301-856-9512",
"fax_number": "301-856-9589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "PAMELA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-30",
"last_updated": "2014-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LCP5663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.