Individual provider Active NPI

Pamela A Kumpf, LBSW

  • Counselor
  • Sioux City, IA
National Provider Identifier
1013065861
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
05881 Issued in IA
Practice address
705 Douglas St
Suite 350
Sioux City, IA 51101-1048
Phone
(712) 277-8991
Fax
(712) 277-8991
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 05881 IA Primary

Addresses

Primary practice location

705 Douglas St
Suite 350
Sioux City, IA 51101-1048

Mailing address

3100 Viking Dr
Sioux City, IA 51104-1838
Phone (712) 277-8991

Other identifiers 1

IdentifierTypeStateIssuer
1014746MedicaidIA

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

LicenseStateTypeSpecialty
05881IAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013065861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 VIKING DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041838",
            "telephone_number": "712-277-8991",
            "fax_number": "712-277-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 DOUGLAS ST",
            "address_2": "SUITE 350",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011048",
            "telephone_number": "712-277-8991",
            "fax_number": "712-277-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMPF",
        "first_name": "PAMELA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LBSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "05881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014746",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.