Active NPI
Pamela S Marshall, LPC
- Professional Counselor
- Springfield, MO
National Provider Identifier
1083941298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2005030087
- Practice address
- 1531 E Sunshine St
Ste W-29
Springfield, MO 65804-1213 - Phone
- (417) 861-6419
- NPI assigned
- Nov 9, 2009
- Last updated
- Nov 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2005030087 | MO | Primary |
Addresses
Primary practice location
1531 E Sunshine St
Ste W-29
Springfield, MO 65804-1213
Mailing address
5610 N 6TH Ave
Ozark, MO 65721-4239
Phone (417) 861-6419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7627 E 126TH St S
Bixby, OK 74008-2796
Phone (918) 296-7746
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005030087 | MO | MD | Professional Counselor |
| 11760 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchored in Hope LLC | Professional | Current | Accepting new patients |
Locations
7627 E 126th St S
Bixby, OK 74008
Phone (918) 296-7746
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1083941298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5610 N 6TH AVE",
"city": "OZARK",
"state": "MO",
"postal_code": "657214239",
"telephone_number": "417-861-6419",
"fax_number": "417-862-6764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 E SUNSHINE ST",
"address_2": "STE W-29",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658041213",
"telephone_number": "417-861-6419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "PAMELA",
"middle_name": "S",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2005030087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.