Pamela Jean Adams, LMFT
Individual provider Active NPI Marriage & Family Therapist · Laguna Niguel, CA
NPI 1316922800 · NPPES record last updated Dec 28, 2012
Key facts
- NPI
- 1316922800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC39615 (CA)
- Practice address
- 30101 Town Center Dr
Suite 216
Laguna Niguel, CA 92677-5006 - Phone
- (760) 391-2332
- Fax
- (949) 258-8693
- NPI assigned
- Dec 7, 2005
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Feb 8, 2024 through Feb 8, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC39615 | CA | MD | Marriage & Family Therapist |
| 39615 | CA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC39615 | CA | Yes |
Addresses
Primary practice location
30101 Town Center Dr
Suite 216
Laguna Niguel, CA 92677-5006
Mailing address
19 Calle Tejado
San Clemente, CA 92673-6813
Phone (760) 391-2332
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All providers in Laguna Niguel, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.