Active NPI
Pamela Gayle Leisure, CCDC III
- Addiction (Substance Use Disorder) Counselor
- Watertown, SD
National Provider Identifier
1356337760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 03071158
- Practice address
- 123 19TH St NE
Watertown, SD 57201-2823 - Phone
- (605) 886-0123
- Fax
- (605) 886-5447
- NPI assigned
- Sep 21, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 03071158 | SD | Primary |
Addresses
Primary practice location
123 19TH St NE
Watertown, SD 57201-2823
Mailing address
PO Box 1030
Watertown, SD 57201-6030
Phone (605) 886-0123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23593 | Other | ICADC |
Other names 1
- Mrs. Pamela Gayle Ogorman
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03071158 | SD | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Service Agency | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Addiction (Substance Use Disorder) Counselor
- Watertown, SD
- NPI 1720074644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1356337760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1030",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572016030",
"telephone_number": "605-886-0123",
"fax_number": "605-886-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 19TH ST NE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572012823",
"telephone_number": "605-886-0123",
"fax_number": "605-886-5447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEISURE",
"first_name": "PAMELA",
"middle_name": "GAYLE",
"name_prefix": "Mrs.",
"credential": "CCDC III",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SD",
"license": "03071158",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ICADC",
"identifier": "23593",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "OGORMAN",
"middle_name": "GAYLE",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.