Pamela Nicole Stiles, M.A.., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4438-125 Issued in WI

Practice address

2511 N 124TH St Ste 106
Brookfield, WI 53005-4684

Phone

(262) 641-4347

Fax

(262) 641-4350

NPI assigned

Sep 3, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Pamela Nicole Pottebaum Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Systemic Perspectives IncGroup PAC ID 0446147847, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Systemic Perspectives, Inc.

  • Mental Health Counselor
  • Brookfield, WI
  • NPI 1497849152
  Medicare reassignment Care Compare group NPD
• New Life Resources, Inc.

  • Psychiatry Physician
  • Waukesha, WI
  • NPI 1225061997

  Professional

  NPD (past)
• Waukesha Health System, Inc.

  dba Behavioral Medicine Center

  • Clinic/Center
  • Waukesha, WI
  • NPI 1346353695
  NPD (past)

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1508173105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 N 124TH ST",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054622",
            "telephone_number": "262-641-4347",
            "fax_number": "262-641-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 N 124TH ST STE 106",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054684",
            "telephone_number": "262-641-4347",
            "fax_number": "262-641-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "PAMELA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "M.A.., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4438-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "POTTEBAUM",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darryl Stich, D.D.S.
• Karen Stichart, RD, CD
• Kimberly Ann Stickel, OTR
• Jordan Stiede
• Max Stieg
• Sarah S Stinski
• Kristen Stodola
• Joseph Stoeckl, M.D.
• Kathleen Sarah Stokes, MD
• Amy J Stolarski, M.D.

• Professional Counselor in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.