Individual provider Active NPI

Pamela Scotto Tremblay, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1386998334
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC003248 Issued in GA
Practice address
285 W Wieuca Rd NE Ste 5441
Atlanta, GA 30342-3321
Phone
(678) 559-9510
Fax
(770) 995-1959
NPI assigned
Oct 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2021

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 LPC003248 GA Primary

Addresses

Primary practice location

285 W Wieuca Rd NE Ste 5441
Atlanta, GA 30342-3321

Mailing address

90 Bellview RDG
Sharpsburg, GA 30277-1556
Phone (678) 778-7313

Other names 1

  • Pamela Ann Scotto Former 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
LPC003248GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Virtual Mental Health Professional CurrentSince May 25, 2021 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Locations

285 W Wieuca Rd NE
Atlanta, GA 30342
Phone (404) 504-8891

Interoperability endpoints

  • Direct secure messaging: pamelatremblay@tdh.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1386998334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BELLVIEW RDG",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302771556",
            "telephone_number": "678-778-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W WIEUCA RD NE STE 5441",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423321",
            "telephone_number": "678-559-9510",
            "fax_number": "770-995-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMBLAY",
        "first_name": "PAMELA",
        "middle_name": "SCOTTO",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "SCOTTO",
            "middle_name": "ANN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.