Individual provider Active NPI

Pamela Banks

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1093168759
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8801-125 Issued in WI
Practice address
2612 N Maryland Ave Apt 307
Milwaukee, WI 53211-3712
Phone
(414) 888-0828
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16191-132 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 17685-30 WI
Mental Health Counselor 101YM0800X 3496-226 WI
Mental Health Counselor 101YM0800X 8801-125 WI
Professional Counselor 101YP2500X 8801-125 WI Primary

Addresses

Primary practice location

2612 N Maryland Ave Apt 307
Milwaukee, WI 53211-3712

Mailing address

2612 N Maryland Ave Apt 307
Milwaukee, WI 53211-3712
Phone (414) 888-0828

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL banksp210@gmail.com Direct
CONNECT URL banksp210@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20241022004318 WI Practitioner - Mental Health Counselor 5092247585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2500 W Layton Ave
Suite 110
Milwaukee, WI 53221-5400

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16191-132WIMDAddiction (Substance Use Disorder) Counselor
17685-30WIMDAddiction (Substance Use Disorder) Counselor
3496-226WIMDMental Health Counselor
8801-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Multi-Cultural Counseling Services II Inc. CurrentSince Oct 28, 2024 Accepting new patients

Locations

2500 W Layton Ave
Ste 110
Milwaukee, WI 53221
Phone (414) 281-0424

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": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1093168759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 N MARYLAND AVE APT 307",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113712",
            "telephone_number": "414-888-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 N MARYLAND AVE APT 307",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113712",
            "telephone_number": "414-888-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "PAMELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16191-132",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17685-30",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3496-226",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "8801-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8801-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "banksp210@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2612 N Maryland Ave Apt 112",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532113710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "banksp210@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2612 N Maryland Ave Apt 307",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532113712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.