Individual provider Active NPI

Pamela Gail McSpadden

  • Counselor
  • Vernon, TX
National Provider Identifier
1669851788
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
71125 Issued in TX
Practice address
1914 Paradise St
Vernon, TX 76384-8111
Phone
(940) 553-1631
NPI assigned
May 21, 2015
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 71125 TX Primary
Professional Counselor 101YP2500X 71125 TX

Addresses

Primary practice location

1914 Paradise St
Vernon, TX 76384-8111

Mailing address

1914 Paradise St
Vernon, TX 76384-8111
Phone (940) 839-7352

Other names 1

  • Mrs. Pamela Smith McSpadden Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240129003784 TX Practitioner - Mental Health Counselor 4880047539 Practice locations: Vernon, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1914 Paradise St
Vernon, TX 76384-8111
Phone (940) 553-1631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1669851788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 PARADISE ST",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763848111",
            "telephone_number": "940-839-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 PARADISE ST",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763848111",
            "telephone_number": "940-553-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSPADDEN",
        "first_name": "PAMELA",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "71125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "MCSPADDEN",
            "middle_name": "SMITH",
            "prefix": "MRS.",
            "credential": "M.A., LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vernon, TX

Sources for this page

Verify at the official NPI Registry.