Organization Active NPI

Pamela S Taylor, PHD, LPC, LLC

  • Professional Counselor
  • Miramar, FL
National Provider Identifier
1194436964
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PAMELA S TAYLOR, PHD, LPC, LLC
Practice address
17115 SW 49TH PL
Miramar, FL 33027
Phone
(816) 739-7102
NPI assigned
Dec 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Dr. Pamela S Taylor, PHDNPI 1821014911
Title
Owner/LMPC
Phone
(816) 739-7102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

17115 SW 49TH PL
Miramar, FL 33027

Mailing address

2413 Main St # 518
Miramar, FL 33025-7809
Phone (816) 739-7102

Other identifiers 1

IdentifierTypeStateIssuer
49466540MedicaidMO

Other names 1

  • New Hope Counseling Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pstaylor@mynewhopecc.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1194436964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 MAIN ST # 518",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257809",
            "telephone_number": "816-739-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17115 SW 49TH PL",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "816-739-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA S TAYLOR, PHD, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/LMPC",
        "authorized_official_telephone_number": "816-739-7102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49466540",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pstaylor@mynewhopecc.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "2413 Main St # 518",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330257809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "New Hope Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Hope Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.