Individual provider Active NPI

Pamela Susan Robins, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Fredericksburg, VA
National Provider Identifier
1508657347
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0710103407 Issued in VA
Practice address
1200 Sam Perry Blvd
Fredericksburg, VA 22401-4456
Phone
(540) 741-7146
Fax
(540) 741-7146
NPI assigned
May 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710103407 VA Primary

Addresses

Primary practice location

1200 Sam Perry Blvd
Fredericksburg, VA 22401-4456

Mailing address

9606 Gunston Hall Rd
Fredericksburg, VA 22408-9490
Phone (540) 840-1104

Other practice location 1

420 Hudgins Rd Ste 201
Fredericksburg, VA 22408-4172
Phone (540) 907-0121

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
0710103407VAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Counseling of Fredericksburg, PLC Addiction (Substance Use Disorder) PastSince Apr 28, 2025 Accepting new patients
Lighthouse Counseling of Fredericksburg, PLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1508657347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9606 GUNSTON HALL RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224089490",
            "telephone_number": "540-840-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014456",
            "telephone_number": "540-741-7146",
            "fax_number": "540-741-7146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Hudgins Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224084172",
            "country_code": "US",
            "telephone_number": "540-907-0121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINS",
        "first_name": "PAMELA",
        "middle_name": "SUSAN",
        "credential": "CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.