Individual provider Active NPI

Pamela D Smith

  • Professional Counselor
  • Arlington Heights, IL
National Provider Identifier
1265822639
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180014837 Issued in IL
Practice address
3233 N Arlington Heights Rd Ste 203
Arlington Heights, IL 60004-1579
Phone
(224) 388-1867
NPI assigned
Jan 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180014837 IL Primary

Addresses

Primary practice location

3233 N Arlington Heights Rd Ste 203
Arlington Heights, IL 60004-1579

Mailing address

3233 N Arlington Heights Rd Ste 203
Arlington Heights, IL 60004-1579
Phone (224) 388-1867

Other practice location 1

8 S Michigan Ave Ste 2800
Chicago, IL 60603-3326
Phone (224) 388-1867

Other names 1

  • Pamela D Smith Professional 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
180014837ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trace Counseling and Wellness, PLLC Professional CurrentSince Oct 1, 2023 Accepting new patients
Veduta Consulting, LLC Past Accepting new patients

Locations

3233 N Arlington Heights Rd
Ste 203
Arlington Heights, IL 60004
Phone (224) 388-1867

8 S Michigan Ave
Ste 2800
Chicago, IL 60603
Phone (312) 481-7722

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1265822639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 N ARLINGTON HEIGHTS RD STE 203",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041579",
            "telephone_number": "224-388-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 N ARLINGTON HEIGHTS RD STE 203",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041579",
            "telephone_number": "224-388-1867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 S Michigan Ave Ste 2800",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606033326",
            "country_code": "US",
            "telephone_number": "224-388-1867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAMELA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "SMITH",
            "middle_name": "D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.