Pamela Kayanan, LPC, LMFT, LSATP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701003183 Issued in VA

Practice address

921 Capitol Landing Road
Colonial Behavioral Health
Williamsburg, VA 23185

Phone

(757) 253-4074

Fax

(757) 253-4018

NPI assigned

Jan 16, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pamelakayanan@tdh.allscriptsdirect.net
• FHIR API: https://fhir-myrecord.cerner.com/r4/2b8c86f5-c497-45b0-94ed-0102e20d1c70/

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD
• Colonial Behavioral Health

  • Community/Behavioral Health Agency
  • Williamsburg, VA
  • NPI 1760565915
  NPD (past)

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1467874099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 CAPITOL LANDING ROAD",
            "address_2": "COLONIAL BEHAVIORAL HEALTH",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23185",
            "telephone_number": "757-253-4074",
            "fax_number": "757-253-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 CAPITOL LANDING ROAD",
            "address_2": "COLONIAL BEHAVIORAL HEALTH",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23185",
            "telephone_number": "757-253-4074",
            "fax_number": "757-253-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYANAN",
        "first_name": "PAMELA",
        "credential": "LPC, LMFT, LSATP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000195",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701003183",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Meredith Gray Kelderhouse, PHARMD
• Lena Erika Stephanie Kellam-Karras
• Brian D. Kellam
• Kristy A Keller, M.D.

• Mental Health Counselor in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.