Active NPI
Pamela Keith
- Professional Counselor
- Denver, CO
National Provider Identifier
1528723087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 008840
- Practice address
- 1777 S Harrison St, Denver, Co
Denver, CO 80210 - Phone
- (720) 903-2893
- NPI assigned
- Nov 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 008840 | GA | Primary |
Addresses
Primary practice location
1777 S Harrison St, Denver, Co
Denver, CO 80210
Mailing address
PO Box 362089
Decatur, GA 30036-2089
Phone (404) 492-0722
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 |
|---|---|---|---|
| 008840 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1528723087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 362089",
"city": "DECATUR",
"state": "GA",
"postal_code": "300362089",
"telephone_number": "404-492-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 S HARRISON ST, DENVER, CO",
"city": "DENVER",
"state": "CO",
"postal_code": "80210",
"telephone_number": "720-903-2893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "PAMELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2021-11-01",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GA",
"license": "008840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.