Individual provider Active NPI

Pamela Marfell, LPC

  • Professional Counselor
  • Warner Robins, GA
National Provider Identifier
1700322864
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006219 Issued in GA
Practice address
204 Sansbury TRL
Warner Robins, GA 31088-3142
Phone
(229) 300-4524
NPI assigned
Jan 13, 2017
Last updated
Dec 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 9010 GA
Professional Counselor 101YP2500X LPC006219 GA Primary

Addresses

Primary practice location

204 Sansbury TRL
Warner Robins, GA 31088-3142

Mailing address

204 Sansbury TRL
Warner Robins, GA 31088-3142
Phone (229) 300-4524

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
9010GAMDAddiction (Substance Use Disorder) Counselor
LPC006219GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Therapy LLC CurrentSince Apr 16, 2023 Accepting new patients
Healthqwest LLC Past Accepting new patients
Healthqwest LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1700322864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SANSBURY TRL",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883142",
            "telephone_number": "229-300-4524",
            "fax_number": "478-225-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SANSBURY TRL",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883142",
            "telephone_number": "229-300-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARFELL",
        "first_name": "PAMELA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "9010",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.