Pamela Jo Hartman, D.MIN., LPC
Individual provider Active NPI Professional Counselor · Estancia, NM
NPI 1154528529 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154528529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0090511 (NM)
- Practice address
- 903C 5TH St.
Estancia, NM 87016-0807 - Phone
- (505) 384-2777
- Fax
- (505) 384-2204
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
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 | |
| Presbyterian Medical Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0090511 | NM | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090511 | Other | NM | LPC |
Other providers in Estancia, NM
- Enchantment Legacy, Inc.
- Ellen Espinosa
- Oliver Matthew Gallegos
- Deminica Denee Garcia
- Emily Gottschalk
- Jennifer Keeran
- Karen Elizabeth Kirst-Millspaugh
- Inez Marie Lopez
- Mariah Lowery
- Karen Ann Lujan
All providers in Estancia, NM · Professional Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.