Active NPI
Pamela Marie Clausen, LCPC
- Professional Counselor
- Missoula, MT
National Provider Identifier
1679628671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 906
- Practice address
- 1001 SW Higgins Ave, Suite 206
Missoula, MT 59803 - Phone
- (406) 274-6040
- Fax
- (833) 248-9203
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 906 | MT | Primary |
Addresses
Primary practice location
1001 SW Higgins Ave, Suite 206
Missoula, MT 59803
Mailing address
1001 SW Higgins Ave, Suite 206
Missoula, MT 59803
Phone (406) 274-6040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000744732 | Other | MT | BLUE CROSS BLUE SHIELD |
| 0256649 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 906 | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1679628671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SW HIGGINS AVE, SUITE 206",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59803",
"telephone_number": "406-274-6040",
"fax_number": "833-248-9203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SW HIGGINS AVE, SUITE 206",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59803",
"telephone_number": "406-274-6040",
"fax_number": "833-248-9203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAUSEN",
"first_name": "PAMELA",
"middle_name": "MARIE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "906",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0000744732",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0256649",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.