Individual provider Active NPI

Pamela Renee Dukes, MHS, CAC-AD

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
National Provider Identifier
1043483472
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
AC0806
Practice address
1002 E Patapsco Ave
Baltimore, MD 21225-2229
Phone
(443) 831-0191
Fax
(410) 355-3971
NPI assigned
Apr 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MD
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X LC16806 MD
Professional Counselor 101YP2500X LGPC200001920 DC
Addiction (Substance Use Disorder) Counselor 101YA0400X AC0806 Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LGPC200001920 DC
Pastoral Counselor 101YP1600X
Professional Counselor 101YP2500X LC16806 MD
Addiction (Substance Use Disorder) Counselor 101YA0400X CACII200001274 DC

Addresses

Primary practice location

1002 E Patapsco Ave
Baltimore, MD 21225-2229

Mailing address

PO Box 2727
Baltimore, MD 21225-0727
Phone (443) 831-0191

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
CACII200001274DCMDAddiction (Substance Use Disorder) Counselor
LGPC200001920DCMDAddiction (Substance Use Disorder) Counselor
LC16806MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
I'M Still Standing by Grace Mental Health Clinic Current 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": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1043483472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2727",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212250727",
            "telephone_number": "443-831-0191",
            "fax_number": "410-355-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E PATAPSCO AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212252229",
            "telephone_number": "443-831-0191",
            "fax_number": "410-355-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKES",
        "first_name": "PAMELA",
        "middle_name": "RENEE",
        "credential": "MHS, CAC-AD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC16806",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "LGPC200001920",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "AC0806",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "LGPC200001920",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC16806",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "CACII200001274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.