Pamela Macon

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

221 Ridge Ave
New Kensington, PA 15068-5432

Phone

(724) 575-5059

Fax

(412) 593-5116

NPI assigned

Jun 16, 2020

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

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1679198535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 TAYLOR AVE APT 1",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150685553",
            "telephone_number": "724-575-5059",
            "fax_number": "412-593-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 RIDGE AVE",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150685432",
            "telephone_number": "724-575-5059",
            "fax_number": "412-593-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACON",
        "first_name": "PAMELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Lynn Loughner, DO
• Kelly Lundstrom, LPN
• Luo Treatment and Recovery Center LLC
• Danielle Lusty, LPC
• Deborah G Lyons Genovesi, MSW
• Emily Magusiak
• Sandra Majocha
• Elizabeth A Maloney, LCSW
• Sarah Martino
• Lisa Ann Matt, MS, RD, LDN

• Peer Specialist in New Kensington, PA
• Providers in New Kensington, PA by specialty
• Peer Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.