Organization Active NPI

Pamela J Wharton, LLC

  • Professional Counselor
  • Ozark, MO
National Provider Identifier
1700652005
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PAMELA J WHARTON, LLC
Practice address
3897 N 20TH St Ste 1
Ozark, MO 65721-8522
Phone
(417) 770-2901
NPI assigned
Nov 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Pamela WhartonNPI 1083047690
Title
Owner/LPC
Phone
(417) 770-2901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

3897 N 20TH St Ste 1
Ozark, MO 65721-8522

Mailing address

3897 N 20TH St Ste 1
Ozark, MO 65721-8522
Phone (417) 770-2901

Other names 1

  • Strength Beyond Self Counseling Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240311002325 MO Part B Supplier - Clinic/Group Practice 9931545159 Receives reassigned benefits from 1 practitioner
Practice locations: Ozark, MO

National Provider Directory

National Provider Directory

Locations

3897 N 20th St
Ste 1
Ozark, MO 65721
Phone (417) 770-2901

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1700652005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3897 N 20TH ST STE 1",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657218522",
            "telephone_number": "417-770-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3897 N 20TH ST STE 1",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657218522",
            "telephone_number": "417-770-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA J WHARTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "WHARTON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "417-770-2901"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strength Beyond Self Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ozark, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.