Pamela Jean Daly Jr., MA, C.A.G.S., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12096 Issued in MA

Practice address

24 Falcon St
Worcester, MA 01603-1104

Phone

(508) 769-2766

NPI assigned

May 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Guided Growth Therapy Collective LLC

  • Mental Health Counselor
  • Worcester, MA
  • NPI 1023860350
  NPD Authorized official

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1134508583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FALCON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031104",
            "telephone_number": "508-769-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FALCON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031104",
            "telephone_number": "508-769-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "name_suffix": "Jr.",
        "credential": "MA, C.A.G.S., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "12096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Dalve
• Brian Patrick Daly, M.D.
• Colleen Daly
• Jennifer S Daly, M.D.
• Kayla C Daly, MA, MT-BC, LMHC
• Sean R Daly, BCBA/LABA
• Katie Dam
• Carly Jane Damato, BA
• Arun Damodaran, MBBS
• Udaya Kumar Damodaran, MD

• Mental Health Counselor in Worcester, MA
• Providers in Worcester, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.