Active NPI
Pamela Gail Tumlinson, LCDC
- Addiction (Substance Use Disorder) Counselor
- Manor, TX
National Provider Identifier
1194383315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 14894
- Practice address
- 11908 Sparks Rd
Manor, TX 78653-3506 - Phone
- (512) 843-7629
- NPI assigned
- Jun 3, 2019
- Last updated
- Jun 11, 2019
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14894 | TX | Primary |
Addresses
Primary practice location
11908 Sparks Rd
Manor, TX 78653-3506
Mailing address
11908 Sparks Rd
Manor, TX 78653-3506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14894 | Other | TX | LCDC LICENSE |
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 |
|---|---|---|---|
| 14894 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1194383315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11908 SPARKS RD",
"city": "MANOR",
"state": "TX",
"postal_code": "786533506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11908 SPARKS RD",
"city": "MANOR",
"state": "TX",
"postal_code": "786533506",
"telephone_number": "512-843-7629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUMLINSON",
"first_name": "PAMELA",
"middle_name": "GAIL",
"credential": "LCDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "14894",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCDC LICENSE",
"identifier": "14894",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.