Organization Active NPI

Pamela Gates Ma LPC, LCDC, Inc

  • Counselor
  • Austin, TX
National Provider Identifier
1225243470
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6991 Issued in TX
Legal business name
PAMELA GATES MA LPC, LCDC, INC
Practice address
2499 S Capital of Texas Hwy
BLDG. B, Suite 201
Austin, TX 78746-7762
Phone
(512) 328-2563
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Authorized official

Name
Ms. Pamela H Gates I, LPC-S,LCDC, ADCIIINPI 1770596520
Title
President
Phone
(512) 328-2563

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 6991 TX Primary

Addresses

Primary practice location

2499 S Capital of Texas Hwy
BLDG. B, Suite 201
Austin, TX 78746-7762

Mailing address

616 Peterson LN
Lakeway, TX 78734-4108
Phone (512) 328-2563

Other identifiers 2

IdentifierTypeStateIssuer
0019EXOtherTXBLUE CROSS BLE SHILED
2163917MedicaidTX

Other names 1

  • Pamela Gates MA. LPC, LCDC, INC Former legal business name

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1225243470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 PETERSON LN",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787344108",
            "telephone_number": "512-328-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 S CAPITAL OF TEXAS HWY",
            "address_2": "BLDG. B, SUITE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467762",
            "telephone_number": "512-328-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA GATES MA LPC, LCDC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-328-2563",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "LPC-S,LCDC, ADCIII"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "6991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLE SHILED",
            "identifier": "0019EX",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2163917",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pamela Gates MA. LPC, LCDC, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.