NPIMap

Organization Active NPI

PKM: Life Transitions

  • Clinical Social Worker
  • Wapakoneta, OH
National Provider Identifier
1447488242
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 0800054 Issued in OH
Legal business name
PKM: LIFE TRANSITIONS
Practice address
12968 Hardin Pike
Wapakoneta, OH 45895-8323
Phone
(419) 722-8853
Fax
(419) 738-7773
NPI assigned
Jun 30, 2009
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Pamela K Mills, LISWNPI 1497925168
Title
Owner
Phone
(419) 722-8853

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I 0800054 OH Primary

Addresses

Primary practice location

12968 Hardin Pike
Wapakoneta, OH 45895-8323

Mailing address

12968 Hardin Pike
Wapakoneta, OH 45895-8323
Phone (419) 722-8853

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1447488242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12968 HARDIN PIKE",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458958323",
            "telephone_number": "419-722-8853",
            "fax_number": "419-738-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12968 HARDIN PIKE",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458958323",
            "telephone_number": "419-722-8853",
            "fax_number": "419-738-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PKM: LIFE TRANSITIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-722-8853",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0800054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapakoneta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.