Pamela P Anderson, M.A. COUN., LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-6682 Issued in ID

Practice address

4346 W Rose Hill St Ste a
Boise, ID 83705-5193

Phone

(208) 830-0601

NPI assigned

Sep 10, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1265782924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 S VISTA AVE # 287",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052429",
            "telephone_number": "208-830-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4346 W ROSE HILL ST STE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837055193",
            "telephone_number": "208-830-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "PAMELA",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "M.A. COUN., LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-C6682",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-5003",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-6682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Anderson
• Matthew Anderson, PHARMD
• Michael Anderson, DMD
• Nicholas Anderson, LPC
• Noel Anderson, PA-C
• Philip Anderson, DO
• Rachael Anderson, LCPC
• Rick M Anderson, CRNA
• Robert A Anderson, RPH
• Robyn L Anderson, CST,CFA

• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.