Active NPI
Pamela Marfell, LPC
- Professional Counselor
- Warner Robins, GA
National Provider Identifier
1700322864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC006219
- Practice address
- 204 Sansbury TRL
Warner Robins, GA 31088-3142 - Phone
- (229) 300-4524
- NPI assigned
- Jan 13, 2017
- Last updated
- Dec 16, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9010 | GA | MD | Addiction (Substance Use Disorder) Counselor |
| LPC006219 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych Therapy LLC | Current | 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.
-
- Mental Health Counselor
- Warner Robins, GA
- NPI 1477249613
-
- Methadone Clinic
- Warner Robins, GA
- NPI 1376846261
-
- Methadone Clinic
- Stockbridge, GA
- NPI 1689393183
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.