Individual provider Active NPI

Pamela C Hancock, LPC, ATR

  • Professional Counselor
  • Telluride, CO
National Provider Identifier
1063744274
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4759 Issued in CO
Practice address
136 S. Tomboy St. #107
Pamela C Hancock
Telluride, CO 81435
Phone
(970) 728-4989
Fax
(970) 728-4989
NPI assigned
Feb 12, 2010
Last updated
Feb 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4759 CO
Professional Counselor 101YP2500X 4759 CO Primary

Addresses

Primary practice location

136 S. Tomboy St. #107
Pamela C Hancock
Telluride, CO 81435

Mailing address

PO Box 1377
Telluride, CO 81435-1377
Phone (970) 728-4989

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
4759COMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1063744274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1377",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814351377",
            "telephone_number": "970-728-4989",
            "fax_number": "970-728-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S. TOMBOY ST. #107",
            "address_2": "PAMELA C HANCOCK",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "81435",
            "telephone_number": "970-728-4989",
            "fax_number": "970-728-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "PAMELA",
        "middle_name": "C",
        "credential": "LPC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "4759",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Telluride, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.