Individual provider Active NPI

Pam Legall, LPC, LCADC

  • Mental Health Counselor
  • Ramsey, NJ
National Provider Identifier
1497152649
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00587800 Issued in NJ
Practice address
19 Spear Rd Ste 303
Ramsey, NJ 07446-1223
Phone
(551) 427-6540
NPI assigned
Dec 3, 2014
Last updated
Jul 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00201400 NJ
Mental Health Counselor 101YM0800X 37PC00587800 NJ Primary

Addresses

Primary practice location

19 Spear Rd Ste 303
Ramsey, NJ 07446-1223

Mailing address

19 Spear Rd Ste 303
Ramsey, NJ 07446-1223
Phone (551) 427-6540

Other practice location 1

545 Island Rd Ste 2
Ramsey, NJ 07446-2813
Phone (551) 427-6540

Other names 1

  • Pam Legall Professional name

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

LicenseStateTypeSpecialty
37LC00201400NJMDAddiction (Substance Use Disorder) Counselor
37PC00587800NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Solutions Counseling Services, LLC Addiction (Substance Use Disorder) Current Accepting new patients

Locations

19 Spear Rd
Ste 303
Ramsey, NJ 07446
Phone (551) 427-6540

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1497152649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SPEAR RD STE 303",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461223",
            "telephone_number": "551-427-6540",
            "fax_number": "201-661-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SPEAR RD STE 303",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461223",
            "telephone_number": "551-427-6540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Island Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ramsey",
            "state": "NJ",
            "postal_code": "074462813",
            "country_code": "US",
            "telephone_number": "551-427-6540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGALL",
        "first_name": "PAM",
        "credential": "LPC, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00201400",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00587800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAM",
            "last_name": "LEGALL",
            "credential": "LPC, LCADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ramsey, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.