Individual provider Active NPI

Pamela J Karnes, LPC-ASSOCIATE, LCDC

  • Mental Health Counselor
  • Fort Worth, TX
National Provider Identifier
1508632381
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
92086 Issued in TX
Practice address
505 Pecan St
Fort Worth, TX 76102-4060
Phone
(817) 381-6991
NPI assigned
Dec 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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 11375 TX
Mental Health Counselor 101YM0800X 92086 TX Primary

Addresses

Primary practice location

505 Pecan St
Fort Worth, TX 76102-4060

Mailing address

972 Parkview Cir
Hewitt, TX 76643-3247
Phone (817) 939-7684

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
92086TXMDMental Health Counselor
11375TXMDRehabilitation Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1508632381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 PARKVIEW CIR",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433247",
            "telephone_number": "817-939-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PECAN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024060",
            "telephone_number": "817-381-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNES",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "LPC-ASSOCIATE, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11375",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "92086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.