Individual provider Active NPI

Pamela A Seng, LPC

  • Professional Counselor
  • Canon City, CO
National Provider Identifier
1497414163
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0020544 Issued in CO
Practice address
2591 US-50
Canon City, CO 81212-8121
Phone
(719) 204-3480
NPI assigned
Dec 10, 2021
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2021045894 MO
Professional Counselor 101YP2500X 0020544 CO Primary

Addresses

Primary practice location

2591 US-50
Canon City, CO 81212-8121

Mailing address

1890 Bluff St
Canon City, CO 81212-9422
Phone (719) 204-3492

Other practice location 1

602 Yale Pl
Canon City, CO 81212-4611
Phone (719) 275-0700 ext. 2019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240805002353 CO Practitioner - Mental Health Counselor 0648628065 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0020544COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mustard Seed Health and Wellbeing Mental Health CurrentSince Mar 3, 2025 Accepting new patients
Gateway to Success, PC CurrentSince Jun 27, 2024 Accepting new patients
Gateway to Success, PC CurrentSince Jun 27, 2024 Accepting new patients

Locations

2951 E US Highway 50
Canon City, CO 81212
Phone (719) 204-3480

602 Yale Pl
Canon City, CO 81212
Phone (719) 275-0700

Organizations & group practices 3

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": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1497414163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 BLUFF ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129422",
            "telephone_number": "719-204-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 US-50",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812128121",
            "telephone_number": "719-204-3480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Yale Pl",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812124611",
            "country_code": "US",
            "telephone_number": "719-275-0700 x2019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENG",
        "first_name": "PAMELA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2021045894",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0020544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

Verify at the official NPI Registry.