Active NPI
Pamela Jo Hartman, D.MIN., LPC
- Professional Counselor
- Estancia, NM
National Provider Identifier
1154528529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0090511
- Practice address
- 903C 5TH St.
Estancia, NM 87016-0807 - Phone
- (505) 384-2777
- Fax
- (505) 384-2204
- NPI assigned
- Jun 29, 2007
- Last updated
- Jul 8, 2007
- 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 | 0090511 | NM | Primary |
Addresses
Primary practice location
903C 5TH St.
Estancia, NM 87016-0807
Mailing address
P.O. Box 132
Corona, NM 88318-0132
Phone (505) 849-2924
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 |
|---|---|---|---|
| 0090511 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Medical Services | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Santa Fe, NM
- NPI 1518910553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154528529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 132",
"city": "CORONA",
"state": "NM",
"postal_code": "883180132",
"telephone_number": "505-849-2924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903C 5TH ST.",
"city": "ESTANCIA",
"state": "NM",
"postal_code": "870160807",
"telephone_number": "505-384-2777",
"fax_number": "505-384-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "PAMELA",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "D.MIN., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0090511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Estancia, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.