Individual provider Active NPI

Pamela Low, LCMHC MLADC

  • Mental Health Counselor
  • Conway, NH
National Provider Identifier
1679693691
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
525 Issued in NH
Practice address
45 Washington St
Suite 12
Conway, NH 03818-6031
Phone
(603) 447-7046
Fax
(603) 447-7046
NPI assigned
Mar 31, 2007
Last updated
Aug 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 569 NH
Addiction (Substance Use Disorder) Counselor 101YA0400X LC4069 ME
Mental Health Counselor 101YM0800X 525 NH Primary
Mental Health Counselor 101YM0800X CC3254 ME

Addresses

Primary practice location

45 Washington St
Suite 12
Conway, NH 03818-6031

Mailing address

45 Washington St
Suite 12
Conway, NH 03818-6031
Phone (603) 447-7046

Other identifiers 4

IdentifierTypeStateIssuer
30426846MedicaidNH
513326567OtherUNITED BEHAVIORAL HEALTH
24Y013824NH01OtherNHANTHEM BC BS
2055204OtherCIGNA

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
LC4069MEMDAddiction (Substance Use Disorder) Counselor
CC3254MEMDMental Health Counselor
525NHMDMental Health Counselor
569NHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1679693691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WASHINGTON ST",
            "address_2": "SUITE 12",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038186031",
            "telephone_number": "603-447-7046",
            "fax_number": "603-447-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WASHINGTON ST",
            "address_2": "SUITE 12",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038186031",
            "telephone_number": "603-447-7046",
            "fax_number": "603-447-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOW",
        "first_name": "PAMELA",
        "credential": "LCMHC MLADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "569",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC4069",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "525",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC3254",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30426846",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "513326567",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "24Y013824NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2055204",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.