Active NPI
Pamela J Smith, MS LPC
- Professional Counselor
- Midland, TX
National Provider Identifier
1104923929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18269
- Practice address
- 10008 Pilot Ave
Midland, TX 79706-2615 - Phone
- (432) 563-4144
- Fax
- (432) 561-8611
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18269 | TX | Primary |
Addresses
Primary practice location
10008 Pilot Ave
Midland, TX 79706-2615
Mailing address
10008 Pilot Ave
Midland, TX 79706-2615
Phone (432) 563-4144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158591101 | Medicaid | TX |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18269 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Samaritan Counseling Center of West Texas Inc | Past | 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.
-
- Public Health or Welfare Agency
- Midland, TX
- NPI 1306881792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1104923929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10008 PILOT AVE",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797062615",
"telephone_number": "432-563-4144",
"fax_number": "432-561-8611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10008 PILOT AVE",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797062615",
"telephone_number": "432-563-4144",
"fax_number": "432-561-8611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "PAMELA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "MS LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158591101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.