Active NPI
Pamela Armstrong
- Addiction (Substance Use Disorder) Counselor
- South Lake Tahoe, CA
National Provider Identifier
1508153834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0725
- Practice address
- 3540 April Dr
South Lake Tahoe, CA 96150-7313 - Phone
- (530) 318-6598
- Fax
- (530) 541-0517
- NPI assigned
- Jul 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0725 | NV | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RI-A0904032007 | CA |
Addresses
Primary practice location
3540 April Dr
South Lake Tahoe, CA 96150-7313
Mailing address
3540 April Dr
South Lake Tahoe, CA 96150-7313
Phone (530) 318-6598
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 |
|---|---|---|---|
| RI-A0904032007 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 0725 | NV | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1508153834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 APRIL DR",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961507313",
"telephone_number": "530-318-6598",
"fax_number": "530-541-0517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 APRIL DR",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961507313",
"telephone_number": "530-318-6598",
"fax_number": "530-541-0517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMSTRONG",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "0725",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RI-A0904032007",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Lake Tahoe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.