Individual provider Active NPI

Pamela L Lewis Norris, LMHC, CAP, NCC

  • Mental Health Counselor
  • Melbourne, FL
National Provider Identifier
1194078071
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 10739 Issued in FL
Practice address
1425 Aurora Rd
Suite D
Melbourne, FL 32935-5315
Phone
(321) 242-1526
Fax
(321) 242-7464
NPI assigned
Oct 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 53372
Addiction (Substance Use Disorder) Counselor 101YA0400X 5303 FL
Mental Health Counselor 101YM0800X MH 10739 FL Primary

Addresses

Primary practice location

1425 Aurora Rd
Suite D
Melbourne, FL 32935-5315

Mailing address

1425 Aurora Rd
Suite D
Melbourne, FL 32935-5315
Phone (321) 242-1526

Other identifiers 3

IdentifierTypeStateIssuer
MH 10739OtherFLLMHC
53372OtherNCC
5303OtherFLCAP

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

LicenseStateTypeSpecialty
5303FLMDAddiction (Substance Use Disorder) Counselor
MH 10739FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1194078071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 AURORA RD",
            "address_2": "SUITE D",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355315",
            "telephone_number": "321-242-1526",
            "fax_number": "321-242-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 AURORA RD",
            "address_2": "SUITE D",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355315",
            "telephone_number": "321-242-1526",
            "fax_number": "321-242-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS NORRIS",
        "first_name": "PAMELA",
        "middle_name": "L",
        "credential": "LMHC, CAP, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "53372",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "5303",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 10739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "MH 10739",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCC",
            "identifier": "53372",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP",
            "identifier": "5303",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.