Active NPI
Pamela Jane Henning, LCMHC
- Professional Counselor
- Wilmington, NC
National Provider Identifier
1114655032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A17637
- Practice address
- 118 Sebrell Ave
Wilmington, NC 28403-4726 - Phone
- (910) 239-4743
- NPI assigned
- Aug 9, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A17637 | NC | |
| Professional Counselor | 101YP2500X | A17637 | NC | Primary |
Addresses
Primary practice location
118 Sebrell Ave
Wilmington, NC 28403-4726
Mailing address
118 Sebrell Ave
Wilmington, NC 28403-4726
Phone (910) 239-4743
Other practice location 1
615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 343-0145
Other practice location 2
4106 Shipyard Blvd
Wilmington, NC 28403
Phone (704) 237-4240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A17637 | Medicaid | NC |
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 |
|---|---|---|---|
| A17637 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1114655032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 SEBRELL AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034726",
"telephone_number": "910-239-4743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 SEBRELL AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034726",
"telephone_number": "910-239-4743"
}
],
"practiceLocations": [
{
"address_1": "615 Shipyard Blvd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284126431",
"country_code": "US",
"telephone_number": "910-343-0145",
"fax_number": "910-341-5779",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4106 Shipyard Blvd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "28403",
"country_code": "US",
"telephone_number": "704-237-4240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENNING",
"first_name": "PAMELA",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-09",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A17637",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A17637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A17637",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.