Individual provider Active NPI

Pamela C Urdang, LPC, NCC

  • Professional Counselor
  • Maxwell AFB, AL
National Provider Identifier
1528303070
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3920 Issued in AL
Practice address
42 MDG/SGHC
300 Twinning St. BLDG 760
Maxwell AFB, AL 36112-6219
Phone
(334) 953-3368
Fax
(334) 953-8607
NPI assigned
Dec 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X 3920 AL Primary

Addresses

Primary practice location

42 MDG/SGHC
300 Twinning St. BLDG 760
Maxwell AFB, AL 36112-6219

Mailing address

42 MDG/SGHC
300 Twinning St. BLDG 760
Maxwell AFB, AL 36112-6219
Phone (334) 953-3368

Other practice location 1

605 W Oxford Ave
Enid, OK 73701-1208
Phone (580) 233-7220

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
3920ALMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1528303070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MDG/SGHC",
            "address_2": "300 TWINNING ST. BLDG 760",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "361126219",
            "telephone_number": "334-953-3368",
            "fax_number": "334-953-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MDG/SGHC",
            "address_2": "300 TWINNING ST. BLDG 760",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "361126219",
            "telephone_number": "334-953-3368",
            "fax_number": "334-953-8607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 W Oxford Ave",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737011208",
            "country_code": "US",
            "telephone_number": "580-233-7220",
            "fax_number": "580-237-7550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URDANG",
        "first_name": "PAMELA",
        "middle_name": "C",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maxwell AFB, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.