Pamela Carole Grisham, MA LPC 11838

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11838 Issued in TX

Practice address

2012 Shadybrook
Bedford, TX 76021

Phone

(817) 691-7898

Fax

(817) 267-7036

NPI assigned

Apr 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other names 1

• Ms. Pamela Grisham Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1598938417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2774",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76099",
            "telephone_number": "817-691-7898",
            "fax_number": "817-267-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 SHADYBROOK",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76021",
            "telephone_number": "817-691-7898",
            "fax_number": "817-267-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISHAM",
        "first_name": "PAMELA",
        "middle_name": "CAROLE",
        "name_prefix": "Ms.",
        "credential": "MA LPC 11838",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "41171",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "11838",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "4005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "GRISHAM",
            "prefix": "MS.",
            "credential": "MA LPC LMFT NCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Kristen Green
• Scott L Greenberg, MD
• Melinda Paul Griffin, M.S., CCC/SLP
• Robin G. Griffin, LCSW, LPC
• Colton D Grindal, DO
• Donald Anthony Griswold, D.C,
• Rex Gueffroy
• Bryant L Guidry, LPC
• Carinthia Jaree Guidry, PA-C
• Jeffrey Robert Guild, PT, DPT, CSCS

• Professional Counselor in Bedford, TX
• Providers in Bedford, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.