NPIMap

Individual provider Active NPI

Pamela Jean Luce-Marine, LPCC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1245489319
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
104161 Issued in KY
Practice address
12701 Townepark Way
Barkley BLDG, Suite 200
Louisville, KY 40243
Phone
(502) 254-8880
Fax
(502) 254-8870
NPI assigned
Sep 15, 2008
Last updated
Jan 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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 KY
Professional Counselor 101YP2500X 104161 KY Primary

Addresses

Primary practice location

12701 Townepark Way
Barkley BLDG, Suite 200
Louisville, KY 40243

Mailing address

2825 Antioch Rd
Shelby Counseling Associates, PSC
Shelbyville, KY 40065
Phone (502) 254-8880

Other names 1

  • Pamela JB Luce 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

State licenses

LicenseStateTypeSpecialty
104161KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby Counseling Associates, PSC Professional Past Accepting new patients
Shelby Counseling Associates, PSC Professional Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1245489319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 ANTIOCH RD",
            "address_2": "SHELBY COUNSELING ASSOCIATES, PSC",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "40065",
            "telephone_number": "502-254-8880",
            "fax_number": "502-254-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 TOWNEPARK WAY",
            "address_2": "BARKLEY BLDG, SUITE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40243",
            "telephone_number": "502-254-8880",
            "fax_number": "502-254-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCE-MARINE",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "104161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "LUCE",
            "middle_name": "JB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.