Active NPI
Pamela Katherine Cassellius, M.A., L.P.C.
- Professional Counselor
- Pinehurst, NC
National Provider Identifier
1245521483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6064
- Practice address
- 289 Olmsted Blvd
Suie 1
Pinehurst, NC 28374-8729 - Phone
- (910) 295-6007
- Fax
- (877) 256-8588
- NPI assigned
- Apr 21, 2011
- Last updated
- Sep 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6064 | CO | Primary |
| Professional Counselor | 101YP2500X | 10322 | NC |
Addresses
Primary practice location
289 Olmsted Blvd
Suie 1
Pinehurst, NC 28374-8729
Mailing address
PO Box 1630
Pinehurst, NC 28370-1630
Phone (910) 295-6007
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10322 | NC | MD | Dentist |
| 6064 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1245521483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1630",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283701630",
"telephone_number": "910-295-6007",
"fax_number": "877-256-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 OLMSTED BLVD",
"address_2": "SUIE 1",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748729",
"telephone_number": "910-295-6007",
"fax_number": "877-256-8588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSELLIUS",
"first_name": "PAMELA",
"middle_name": "KATHERINE",
"credential": "M.A., L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "6064",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "10322",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.