Pamela Petersson Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PAMELA PETERSSON COUNSELING

Practice address

10500 E Beecher Rd
Pittsford, MI 49271-9809

Phone

(517) 796-2785

NPI assigned

Apr 10, 2025

Last updated

Apr 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Meekhan C Clemens

Title

Biller

Phone

(517) 539-1216

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1487449666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 E BEECHER RD",
            "city": "PITTSFORD",
            "state": "MI",
            "postal_code": "492719809",
            "telephone_number": "517-796-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 E BEECHER RD",
            "city": "PITTSFORD",
            "state": "MI",
            "postal_code": "492719809",
            "telephone_number": "517-796-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA PETERSSON COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "CLEMENS",
        "authorized_official_first_name": "MEEKHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "517-539-1216"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235659996",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Pittsford, MI
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• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.