Active NPI
Pamela Paige Lees, LCPC
- Professional Counselor
- Decatur, IL
National Provider Identifier
1689732968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180004133
- Practice address
- 132 S Water St Ste 630
Suite a
Decatur, IL 62523-1068 - Phone
- (217) 460-0264
- NPI assigned
- Dec 5, 2006
- 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 | 180004133 | IL | Primary |
Addresses
Primary practice location
132 S Water St Ste 630
Suite a
Decatur, IL 62523-1068
Mailing address
15 Chippewa Run
Pana, IL 62557
Phone (217) 562-3006
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 |
|---|---|---|---|
| 180004133 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1689732968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CHIPPEWA RUN",
"city": "PANA",
"state": "IL",
"postal_code": "62557",
"telephone_number": "217-562-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 S WATER ST STE 630",
"address_2": "SUITE A",
"city": "DECATUR",
"state": "IL",
"postal_code": "625231068",
"telephone_number": "217-460-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEES",
"first_name": "PAMELA",
"middle_name": "PAIGE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180004133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.