Active NPI
Pamela Ruth Bailey, LMHC
- Mental Health Counselor
- Sanford, FL
National Provider Identifier
1457538803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH7013
- Practice address
- 4760 Nebraska Ave
Sanford, FL 32771-9301 - Phone
- (407) 323-8855
- Fax
- (321) 256-2962
- NPI assigned
- Jan 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH7013 | FL | Primary |
Addresses
Primary practice location
4760 Nebraska Ave
Sanford, FL 32771-9301
Mailing address
4760 Nebraska Ave
Sanford, FL 32771-9301
Phone (407) 323-8855
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH7013 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252022400000",
"number": "1457538803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 NEBRASKA AVE",
"city": "SANFORD",
"state": "FL",
"postal_code": "327719301",
"telephone_number": "407-323-8855",
"fax_number": "321-256-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4760 NEBRASKA AVE",
"city": "SANFORD",
"state": "FL",
"postal_code": "327719301",
"telephone_number": "407-323-8855",
"fax_number": "321-256-2962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "PAMELA",
"middle_name": "RUTH",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2009-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH7013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.