Pamela Diane Trice, PSYD, LCPC, LMT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH22844 Issued in FL

Practice address

5878 Mizpah CT
Lakeland, FL 33810-1841

Phone

(630) 207-5537

Fax

(888) 873-1159

NPI assigned

Apr 5, 2006

Last updated

Feb 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• New Creation Therapeutic Bodywork Inc.

  • Professional Counselor
  • Naperville, IL
  • NPI 1598208241
  NPD Authorized official
• New Creation Counseling and Therapeutic Bodywork Inc

  • Mental Health Counselor
  • Lakeland, FL
  • NPI 1558125468
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1134181902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5878 MIZPAH CT",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338101841",
            "telephone_number": "630-207-5537",
            "fax_number": "630-221-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5878 MIZPAH CT",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338101841",
            "telephone_number": "630-207-5537",
            "fax_number": "888-873-1159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Naper Vl Wheaton Rd",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605631557",
            "country_code": "US",
            "telephone_number": "630-207-5537",
            "fax_number": "630-221-1606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRICE",
        "first_name": "PAMELA",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PSYD, LCPC, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22844",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005746",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227014528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Smith Tremble, LAT, ATC, CSCS
• Brittany Lynn Trent, CRNA
• Cameron Cooke Trentham
• Tri County Human Services, Inc.
• Linda Katherine Triana, RBT-25-452794
• Antonio Trindade, M.D.
• Teresa Trinidad Calderon, RN
• Leslie Trinidad
• Trinity Christian Counseling Services
• Trinity Endodontics

• Mental Health Counselor in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.