Individual provider Active NPI

Pamela Gayle Leisure, CCDC III

  • Addiction (Substance Use Disorder) Counselor
  • Watertown, SD
National Provider Identifier
1356337760
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
03071158 Issued in SD
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
23593OtherICADC

Other names 1

  • Mrs. Pamela Gayle Ogorman Other 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
03071158SDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.