Active NPI
Pamela Tooson, BSW, SAC-IT
- Addiction (Substance Use Disorder) Counselor
- Milwaukee, WI
National Provider Identifier
1063765980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 16192-130
- Practice address
- 2625 N Weil St
Milwaukee, WI 53212-3060 - Phone
- (414) 962-1200
- Fax
- (414) 962-2305
- NPI assigned
- Oct 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16192-130 | WI | Primary |
Addresses
Primary practice location
2625 N Weil St
Milwaukee, WI 53212-3060
Mailing address
2625 N Weil St
Milwaukee, WI 53212-3060
Phone (414) 962-1200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16192-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1063765980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 N WEIL ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532123060",
"telephone_number": "414-962-1200",
"fax_number": "414-962-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 N WEIL ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532123060",
"telephone_number": "414-962-1200",
"fax_number": "414-962-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOOSON",
"first_name": "PAMELA",
"credential": "BSW, SAC-IT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-16",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "16192-130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.