Pamela L Beverage, ED. D., LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0074101 Issued in NM

Practice address

3500 Comanche Rd NE
Suite 12
Albuquerque, NM 87107-4546

Phone

(505) 238-3449

NPI assigned

May 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1669607115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2792",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870482792",
            "telephone_number": "505-238-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 COMANCHE RD NE",
            "address_2": "SUITE 12",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074546",
            "telephone_number": "505-238-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERAGE",
        "first_name": "PAMELA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "ED. D., LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0074101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Between the Lines Therapy LLC
• Brett Watson Beutel, LPCC
• Michele Helene Beuttel, LBSW,LMSW,LISW
• Alexander William Bevak, DO
• Joshua David Bevans, MD
• Amy Claire Beveridge, M.S., CCC-SLP
• Luis Guillermo Beverido, M.D.
• Beverly a. Pucka, MD P.C.
• Erin Renee Beverly, FNP-C
• James Marc Beverly, PA-C

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.