Individual provider Active NPI

Pamela Vance Robinson, LPC

  • Professional Counselor
  • Center, TX
National Provider Identifier
1437847100
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
79783 Issued in TX
Practice address
114 Nacogdoches St Ste D
Center, TX 75935-3852
Phone
(903) 754-9328
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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 79783 TX Primary

Addresses

Primary practice location

114 Nacogdoches St Ste D
Center, TX 75935-3852

Mailing address

114 Nacogdoches St Ste D
Center, TX 75935-3852
Phone (903) 754-9328

Other practice location 1

715 County Road 432
Joaquin, TX 75954-1243
Phone (903) 754-9328

Other practice location 2

131 Tenaha St
Center, TX 75935-3838
Phone (936) 590-9864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240614000628 TX Practitioner - Mental Health Counselor 8820531205 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
79783TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Intentional Mental Health & Wellness PLLC Professional CurrentSince May 1, 2025 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince May 7, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1437847100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 NACOGDOCHES ST STE D",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353852",
            "telephone_number": "903-754-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 NACOGDOCHES ST STE D",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353852",
            "telephone_number": "903-754-9328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 County Road 432",
            "address_purpose": "LOCATION",
            "city": "Joaquin",
            "state": "TX",
            "postal_code": "759541243",
            "country_code": "US",
            "telephone_number": "903-754-9328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Tenaha St",
            "address_purpose": "LOCATION",
            "city": "Center",
            "state": "TX",
            "postal_code": "759353838",
            "country_code": "US",
            "telephone_number": "936-590-9864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "PAMELA",
        "middle_name": "VANCE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center, TX

Sources for this page

Verify at the official NPI Registry.