Individual provider Active NPI

Pamela Darlene Phelps, M. ED., LPC

  • Professional Counselor
  • Decatur, AL
National Provider Identifier
1316024987
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2111 Issued in AL
Practice address
1409 Kathy LN SW
Suite #10
Decatur, AL 35601-3656
Phone
(256) 353-8528
Fax
(256) 353-8529
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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 2111 AL Primary

Addresses

Primary practice location

1409 Kathy LN SW
Suite #10
Decatur, AL 35601-3656

Mailing address

1409 Kathy LN SW
Suite #10
Decatur, AL 35601-3656
Phone (256) 353-8528

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 Education

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1316024987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 KATHY LN SW",
            "address_2": "SUITE #10",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013656",
            "telephone_number": "256-353-8528",
            "fax_number": "256-353-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 KATHY LN SW",
            "address_2": "SUITE #10",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013656",
            "telephone_number": "256-353-8528",
            "fax_number": "256-353-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "PAMELA",
        "middle_name": "DARLENE",
        "credential": "M. ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.