Pamela R Myricks-Orange Williams

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CAAR.CG.61097428 Issued in WA

Practice address

721 Fawcett Ave
Tacoma, WA 98402-5502

Phone

(253) 999-2734

NPI assigned

Sep 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1285305037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 S 58TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984082319",
            "telephone_number": "253-988-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 FAWCETT AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025502",
            "telephone_number": "253-999-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRICKS-ORANGE WILLIAMS",
        "first_name": "PAMELA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CAAR.CG.61097428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mdc-hope.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "721 Fawcett Ave",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984025502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jamaica Myers
• Jason Edward Myers, L.M.H.C.
• Jeremy S Myers
• Jordan H Myers
• Jenna Mylin, PA-C
• Vincent Mysliwiec, M.D.
• Mystique Healthcare
• Edward Kyung-Rim NA, LMHCA
• Howard Benjamin Nabbefeld, VRC
• Karl Roa Nacalaban, PHARMD

• Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.