Organization Active NPI

Pamela a. Baker LMHC,LPC,NCC Inc

  • Mental Health Counselor
  • Brandon, FL
National Provider Identifier
1619372190
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH3564 Issued in FL
Legal business name
PAMELA A. BAKER LMHC,LPC,NCC INC
Practice address
605 W Bloomingdale Ave
Brandon, FL 33511-7444
Phone
(828) 342-1965
Fax
(813) 684-1987
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Ms. Pamela Anne Baker, LMHC,LPC
Title
Owner
Phone
(828) 342-1965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH3564 FL Primary

Addresses

Primary practice location

605 W Bloomingdale Ave
Brandon, FL 33511-7444

Mailing address

234 Bryan Oak Ave
Brandon, FL 33511-7595
Phone (828) 342-1965

National Provider Directory

National Provider Directory

Locations

605 W Bloomingdale Ave
Brandon, FL 33511
Phone (813) 956-6189

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1619372190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 BRYAN OAK AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117595",
            "telephone_number": "828-342-1965",
            "fax_number": "813-684-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117444",
            "telephone_number": "828-342-1965",
            "fax_number": "813-684-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA A. BAKER LMHC,LPC,NCC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-342-1965",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC,LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.