Individual provider Active NPI

Pamela Marie Bull, M.A, LPCC

  • Professional Counselor
  • New Brighton, MN
National Provider Identifier
1205283611
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
02636 Issued in MN
Practice address
1403 Silver Lake Rd NW Ste 2
New Brighton, MN 55112-9308
Phone
(612) 756-9227
NPI assigned
May 17, 2016
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 02636 MN Primary
Professional Counselor 101YP2500X 131030 IA

Addresses

Primary practice location

1403 Silver Lake Rd NW Ste 2
New Brighton, MN 55112-9308

Mailing address

1403 Silver Lake Rd NW Ste 2
New Brighton, MN 55112-9308
Phone (612) 756-9227

Other practice location 1

1212 Ruby Ct
Mason City, IA 50401-6990
Phone (651) 472-1697

Other names 1

  • Pamela Marie Zaffke Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
02636MNMDCounselor
131030IAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1205283611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 SILVER LAKE RD NW STE 2",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129308",
            "telephone_number": "612-756-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 SILVER LAKE RD NW STE 2",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129308",
            "telephone_number": "612-756-9227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Ruby Ct",
            "address_purpose": "LOCATION",
            "city": "Mason City",
            "state": "IA",
            "postal_code": "504016990",
            "country_code": "US",
            "telephone_number": "651-472-1697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULL",
        "first_name": "PAMELA",
        "middle_name": "MARIE",
        "credential": "M.A, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "02636",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IA",
            "license": "131030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "ZAFFKE",
            "middle_name": "MARIE",
            "credential": "M.A., LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.