Individual provider Active NPI

Pamela Jenkins, ALC

  • Counselor
  • Birmingham, AL
National Provider Identifier
1649826223
Registry record updated Aug 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C3272A Issued in AL
Practice address
266 Gadsden Hwy Ste 102
Birmingham, AL 35235-1022
Phone
(205) 994-4563
NPI assigned
Aug 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C3272A AL Primary

Addresses

Primary practice location

266 Gadsden Hwy Ste 102
Birmingham, AL 35235-1022

Mailing address

266 Gadsden Hwy Ste 102
Birmingham, AL 35235-1022
Phone (205) 994-4563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223000473 AL Practitioner - Mental Health Counselor 0446694905 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C3272AALMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Work in Progress LLC CurrentSince Jan 5, 2024 Accepting new patients

Locations

266 Gadsden Hwy
Ste 102
Birmingham, AL 35235
Phone (205) 807-2797

524 Huffman Rd
Birmingham, AL 35215
Phone (205) 994-4563

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1565395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565395200000",
    "number": "1649826223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 GADSDEN HWY STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352351022",
            "telephone_number": "205-994-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 GADSDEN HWY STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352351022",
            "telephone_number": "205-994-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "PAMELA",
        "credential": "ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-10",
        "last_updated": "2019-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "C3272A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.