Individual provider Active NPI

Pamela Cockels, LPC

  • Professional Counselor
  • Bloomfield Hills, MI
National Provider Identifier
1033486162
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401003316 Issued in MI
Practice address
74 W Long Lake Rd
Suite 104
Bloomfield Hills, MI 48304-2769
Phone
(248) 642-6066
Fax
(248) 642-5739
NPI assigned
Nov 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401003316 MI Primary

Addresses

Primary practice location

74 W Long Lake Rd
Suite 104
Bloomfield Hills, MI 48304-2769

Mailing address

74 W Long Lake Rd
Suite 104
Bloomfield Hills, MI 48304-2769

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
6401003316MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Psychologists of Michigan, P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1033486162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 W LONG LAKE RD",
            "address_2": "SUITE 104",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 W LONG LAKE RD",
            "address_2": "SUITE 104",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042769",
            "telephone_number": "248-642-6066",
            "fax_number": "248-642-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKELS",
        "first_name": "PAMELA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401003316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.