Pamela L Wizner-Randazzo, MA, LPC, CAADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401006060 Issued in MI

Practice address

520 Cobb St
Cadillac, MI 49601-2588

Phone

(231) 775-6521

Fax

(231) 775-1366

NPI assigned

Sep 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifeskills Psychological Services PCGroup PAC ID 2961677265, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Lifeskills Psychological Services PC

  • Counseling Psychologist
  • Cadillac, MI
  • NPI 1104983923
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1043469646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012588",
            "telephone_number": "231-775-6521",
            "fax_number": "231-775-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012588",
            "telephone_number": "231-775-6521",
            "fax_number": "231-775-1366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8630 W Peterson Point Rd",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "MI",
            "postal_code": "496519051",
            "country_code": "US",
            "telephone_number": "586-668-1366",
            "fax_number": "231-839-3322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 S Carmel St",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496012344",
            "country_code": "US",
            "telephone_number": "231-775-6517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIZNER-RANDAZZO",
        "first_name": "PAMELA",
        "middle_name": "L",
        "credential": "MA, LPC, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401006060",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401006060",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401006060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pamela.wizner.p1@direct.nextgenshare.com",
            "affiliation": "N",
            "address_1": "520 Cobb St",
            "city": "Cadillac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496012588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tricia Wing, PT, DPT
• Kamren James Winrick
• Monica Witkowski, RBT
• Walter J Witkowski, PT
• Derek Witzke, LLMSW
• Women'S Health Specialists, P.C.
• William Woodward
• Kristina Rose Woodworth
• Beth Ann Woolston, LBSW
• Wright & Filippis Inc

• Mental Health Counselor in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.