Pamela Kavanaugh Douglas, MSN,APRN,BC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0015000655 Issued in VA

Practice address

6722 Patterson Ave
Suite B
Richmond, VA 23226-3419

Phone

(804) 282-4000

Fax

(804) 282-7799

NPI assigned

Sep 15, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pamela Douglas

  • Mental Health Counselor
  • Richmond, VA
  • NPI 1952582850
  Medicare reassignment NPD Authorized official
• Jenna Miles, LPC, LLC

  • Professional Counselor
  • Ashland, VA
  • NPI 1023559002
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003801028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6722 PATTERSON AVE",
            "address_2": "SUITE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263419",
            "telephone_number": "804-282-4000",
            "fax_number": "804-282-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6722 PATTERSON AVE",
            "address_2": "SUITE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263419",
            "telephone_number": "804-282-4000",
            "fax_number": "804-282-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "PAMELA",
        "middle_name": "KAVANAUGH",
        "name_prefix": "Ms.",
        "credential": "MSN,APRN,BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0015000655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M. Dougherty, PH.D.
• Thomas E Dougherty III, LCSW
• Catherine D Douglas, MS, RNC
• Jonelle Alicia Douglas, M.D.
• Michael F. S. Douglas, MD
• Richard N Douglas, OD
• Douglass R. Bloomfield, PH.D., P.C.
• Elisabeth Douklias, PA-C
• Doula for You LLC
• Celeste B Dove, CRNA

• Mental Health Counselor in Richmond, VA
• Providers in Richmond, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.