Individual provider Active NPI

Pamela Landreth, M.ED, LPC

  • Mental Health Counselor
  • Cumming, GA
National Provider Identifier
1154799583
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
327 Dahlonega St Ste B1703
Cumming, GA 30040-8207
Phone
(770) 540-7531
NPI assigned
Sep 2, 2015
Last updated
Oct 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

327 Dahlonega St Ste B1703
Cumming, GA 30040-8207

Mailing address

PO Box 3143
Cumming, GA 30028-6516
Phone (770) 540-7531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Life Wisdom Counseling LLC Mental Health CurrentSince Oct 24, 2021 Accepting new patients
Bethany Christian Services of Georgia Past Accepting new patients
Bethany Christian Services Past Accepting new patients

Locations

327 Dahlonega St
Ste A1902
Cumming, GA 30040
Phone (470) 281-9400

327 Dahlonega St
Ste B1703
Cumming, GA 30040
Phone (770) 540-7531

Interoperability endpoints

  • Direct secure messaging: georgiabehavioralhealthprofessionals.pamlandreth@124220.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1154799583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3143",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300286516",
            "telephone_number": "770-540-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 DAHLONEGA ST STE B1703",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408207",
            "telephone_number": "770-540-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRETH",
        "first_name": "PAMELA",
        "credential": "M.ED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.