Active NPI
Pamela Diane Hafemann, LPC
- Professional Counselor
- Colleyville, TX
National Provider Identifier
1619486545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 73446
- Practice address
- 4209 Gateway Dr Ste 235
Colleyville, TX 76034-7912 - Phone
- (214) 672-8546
- NPI assigned
- Sep 22, 2017
- Last updated
- Sep 22, 2017
- 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 | 73446 | TX | Primary |
Addresses
Primary practice location
4209 Gateway Dr Ste 235
Colleyville, TX 76034-7912
Mailing address
964 Condor Dr
Coppell, TX 75019-5985
Phone (214) 673-8546
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 |
|---|---|---|---|
| 73446 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506038400000",
"number": "1619486545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "964 CONDOR DR",
"city": "COPPELL",
"state": "TX",
"postal_code": "750195985",
"telephone_number": "214-673-8546",
"fax_number": "214-673-8546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4209 GATEWAY DR STE 235",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760347912",
"telephone_number": "214-672-8546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFEMANN",
"first_name": "PAMELA",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-22",
"last_updated": "2017-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "73446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colleyville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.