Pamela Susan Kohll, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2515 Issued in NE

Practice address

237A Summit Ave
Mill Valley, CA 94941

Phone

(917) 574-9034

NPI assigned

Oct 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1578649448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237A SUMMIT AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "94941",
            "telephone_number": "917-574-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237A SUMMIT AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "94941",
            "telephone_number": "917-574-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLL",
        "first_name": "PAMELA",
        "middle_name": "SUSAN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "2515",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Kipper, LMFT
• David Hagen Kirn, MD
• Kitehill Psychotherapy
• Kevin Michael Knack Jr., N.P.
• Haydee Knott, MD
• Howard Gordon Kornfeld, MD
• Cheryl Ann Kosmas, P.T.
• Marilyn Jean Krieger, PH.D.
• Susie Jennifer Krolicki, N.D.
• Steven Kruszynski, MFT

• Mental Health Counselor in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.