Individual provider Active NPI

Pamela A Behnen, LPC

  • Counselor
  • Saint Louis, MO
National Provider Identifier
1700100484
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2009032271 Issued in MO
Practice address
6735 Mitchell Ave
Saint Louis, MO 63139-3647
Phone
(314) 488-7393
Fax
(314) 571-9932
NPI assigned
Mar 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2009032271 MO Primary

Addresses

Primary practice location

6735 Mitchell Ave
Saint Louis, MO 63139-3647

Mailing address

6735 Mitchell Ave
Saint Louis, MO 63139-3647
Phone (314) 488-7393

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

LicenseStateTypeSpecialty
2009032271MOMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1700100484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 MITCHELL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393647",
            "telephone_number": "314-488-7393",
            "fax_number": "314-571-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 MITCHELL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393647",
            "telephone_number": "314-488-7393",
            "fax_number": "314-571-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHNEN",
        "first_name": "PAMELA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2009032271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.