Pamela Sue Van Kampen, M.ED, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401007528 Issued in MI

Practice address

74 W Long Lake Rd
Suite 104
Bloomfield Hills, MI 48304-2769

Phone

(248) 642-6066

Fax

(248) 642-5739

NPI assigned

May 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Pamela Sue Connors Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Affiliated Psychologists of Michigan, P.C.

  • Psychologist
  • Bloomfield Hills, MI
  • NPI 1396918199
  NPD

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1215162185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 W LONG LAKE RD",
            "address_2": "SUITE 104",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042769",
            "telephone_number": "248-642-6066",
            "fax_number": "248-642-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 W LONG LAKE RD",
            "address_2": "SUITE 104",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042769",
            "telephone_number": "248-642-6066",
            "fax_number": "248-642-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN KAMPEN",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "M.ED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "CONNORS",
            "middle_name": "SUE",
            "prefix": "MRS.",
            "credential": "M.ED, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cayla Vachon, RN
• Anita Vaishampayan, MD
• Janice Ann Valentine
• Firoza B Van Horn, PSY. D.
• Carol Van Kampen, LMSW
• Sara Lynn Van Wormer, MA, LLP
• Emanuel T Vanbolden, PHD LP
• Katherine Aileen Vance, LMSW
• Agnes E Vandeputte, CRNA
• Victoria Lyn Vander Velde, PA

• Professional Counselor in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.