Individual provider Active NPI

Pamela Jo Williams, LPC

  • Mental Health Counselor
  • New Kensington, PA
National Provider Identifier
1669752812
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC005403 Issued in PA
Practice address
3 Kensington SQ Ste B
New Kensington, PA 15068-6443
Phone
(724) 335-9733
Fax
(724) 335-9734
NPI assigned
Aug 19, 2011
Last updated
Aug 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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 PC005403 PA Primary

Addresses

Primary practice location

3 Kensington SQ Ste B
New Kensington, PA 15068-6443

Mailing address

3 Kensington SQ Ste B
New Kensington, PA 15068-6443
Phone (724) 335-9733

Other identifiers 10

IdentifierTypeStateIssuer
184265OtherPAUNISON
1007624160014MedicaidPA
197961OtherHIGHMARK
1000364OtherPACCBHO
330989OtherPAVBH
HMO2595457OtherPAAETNA
1210OtherPACBHNP
424947OtherPAHEALTH AMERICA
206234OtherPAUPMC
PPO7109257OtherPAAETNA

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
PC005403PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Behavioral Resources Past Accepting new patients
Family Behavioral Resources Past Accepting new patients
Family Behavioral Resources Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1669752812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 KENSINGTON SQ STE B",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686443",
            "telephone_number": "724-335-9733",
            "fax_number": "724-335-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 KENSINGTON SQ STE B",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686443",
            "telephone_number": "724-335-9733",
            "fax_number": "724-335-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PAMELA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC005403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "184265",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007624160014",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "197961",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCBHO",
            "identifier": "1000364",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBH",
            "identifier": "330989",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "HMO2595457",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBHNP",
            "identifier": "1210",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "424947",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "206234",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "PPO7109257",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Kensington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.