Active NPI
Pamela Macmillan, LPC
- Professional Counselor
- Mechanicsville, VA
National Provider Identifier
1609817402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701002924
- Practice address
- 8254 Atlee Rd
Mechanicsville, VA 23116-1844 - Phone
- (804) 342-4300
- Fax
- (804) 342-4316
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 0701002924 | VA | Primary |
Addresses
Primary practice location
8254 Atlee Rd
Mechanicsville, VA 23116-1844
Mailing address
8254 Atlee Rd
Mechanicsville, VA 23116-1844
Phone (804) 342-4300
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 284469 | Other | VA | ANTHEM |
| 375677 | Other | VA | MAMSI |
| 2030934 | Other | VA | CIGNA |
| 266920 | Other | VA | VALUE OPTIONS |
| 084940 | Other | VA | SENTARA BEHAVIORAL |
| 7933082 | Other | VA | AETNA |
| 191723 | Other | VA | COMPSYCH |
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 |
|---|---|---|---|
| 0701002924 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheltering Arms Hospital | Past | Accepting new patients | |
| Sheltering Arms Physical Rehabilitation Associates, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/74ae929c-3b50-4f7a-9a1c-18042b69a652/
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.
-
- Rehabilitation Clinic/Center
- Richmond, VA
- NPI 1427694017
-
- Rehabilitation Clinic/Center
- Mechanicsville, VA
- NPI 1225237274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1609817402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8254 ATLEE RD",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231161844",
"telephone_number": "804-342-4300",
"fax_number": "804-342-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8254 ATLEE RD",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231161844",
"telephone_number": "804-342-4300",
"fax_number": "804-342-4316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACMILLAN",
"first_name": "PAMELA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701002924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "284469",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "375677",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2030934",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "266920",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA BEHAVIORAL",
"identifier": "084940",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7933082",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "191723",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.