Individual provider Active NPI

Patricia Pell, LMSW

  • Mental Health Counselor
  • White Cloud, MI
National Provider Identifier
1659701092
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801085529 Issued in MI
Practice address
1049 E Newell St
White Cloud, MI 49349-8795
Phone
(231) 689-7330
Fax
(231) 689-7500
NPI assigned
Nov 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801085529 MI Primary

Addresses

Primary practice location

1049 E Newell St
White Cloud, MI 49349-8795

Mailing address

1049 E Newell St
PO Box 867
White Cloud, MI 49349-8795
Phone (231) 689-7330

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

LicenseStateTypeSpecialty
6801085529MIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1659701092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 E NEWELL ST",
            "address_2": "PO BOX 867",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493498795",
            "telephone_number": "231-689-7330",
            "fax_number": "231-689-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 E NEWELL ST",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493498795",
            "telephone_number": "231-689-7330",
            "fax_number": "231-689-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELL",
        "first_name": "PATRICIA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801085529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Cloud, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.