Individual provider Active NPI

Pam Quekemeyer

  • Professional Counselor
  • Birmingham, AL
National Provider Identifier
1407351612
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3487 Issued in AL
Practice address
100 Century Park S
Birmingham, AL 35226-3949
Phone
(205) 928-8532
NPI assigned
Mar 28, 2018
Last updated
Sep 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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 3487 AL Primary

Addresses

Primary practice location

100 Century Park S
Birmingham, AL 35226-3949

Mailing address

100 Century Park S
Birmingham, AL 35226-3949
Phone (205) 928-8532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3487ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Therapy Services, LLC Current Accepting new patients

Locations

700 Century Park S
Ste 128
Birmingham, AL 35226
Phone (205) 823-1215

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1407351612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTURY PARK S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263949",
            "telephone_number": "205-928-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTURY PARK S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263949",
            "telephone_number": "205-928-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEKEMEYER",
        "first_name": "PAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.