Individual provider Active NPI

Pamela Skeeter Hunt, MA, LSW, LPC-S

  • Mental Health Counselor
  • Bowling Green, OH
National Provider Identifier
1679624035
Registry record updated Dec 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C0005903 Issued in OH
Practice address
130 S Main St
218
Bowling Green, OH 43402-2947
Phone
(419) 354-2464
Fax
(419) 354-2465
NPI assigned
Jan 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C0005903 OH Primary
Social Worker 104100000X S0020096 OH

Addresses

Primary practice location

130 S Main St
218
Bowling Green, OH 43402-2947

Mailing address

130 S Main St
218
Bowling Green, OH 43402-2947
Phone (419) 354-2464

Other identifiers 1

IdentifierTypeStateIssuer
11205887OtherOHCAQH

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
S0020096OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Allies in Mental Health Mental Health PastSince Jun 1, 2005 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198281600000",
    "number": "1679624035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "address_2": "218",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022947",
            "telephone_number": "419-354-2464",
            "fax_number": "419-354-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "address_2": "218",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022947",
            "telephone_number": "419-354-2464",
            "fax_number": "419-354-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "PAMELA",
        "middle_name": "SKEETER",
        "credential": "MA, LSW, LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C0005903",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0020096",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11205887",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2007; 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.