Active NPI
Pamela Low, LCMHC MLADC
- Mental Health Counselor
- Conway, NH
National Provider Identifier
1679693691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 525
- 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, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30426846 | Medicaid | NH | |
| 513326567 | Other | UNITED BEHAVIORAL HEALTH | |
| 24Y013824NH01 | Other | NH | ANTHEM BC BS |
| 2055204 | Other | CIGNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC4069 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| CC3254 | ME | MD | Mental Health Counselor |
| 525 | NH | MD | Mental Health Counselor |
| 569 | NH | MD | Mental 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.