Active NPI
Pamela Frances Predmore, L.C.P.C.
- Professional Counselor
- Elgin, IL
National Provider Identifier
1710120837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1800003657
- Practice address
- Ecker Center
1845 Grandstand
Elgin, IL 60120 - Phone
- (847) 429-8786
- NPI assigned
- Apr 20, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1800003657 | IL | Primary |
| School Counselor | 101YS0200X | 180-003657 | IL |
Addresses
Primary practice location
Ecker Center
1845 Grandstand
Elgin, IL 60120
Mailing address
17219 Millstone CT
Marengo, IL 60152-8129
Phone (815) 923-4743
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 |
|---|---|---|---|
| 1800003657 | IL | MD | Professional Counselor |
| 180-003657 | IL | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240185600000",
"number": "1710120837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17219 MILLSTONE CT",
"city": "MARENGO",
"state": "IL",
"postal_code": "601528129",
"telephone_number": "815-923-4743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ECKER CENTER",
"address_2": "1845 GRANDSTAND",
"city": "ELGIN",
"state": "IL",
"postal_code": "60120",
"telephone_number": "847-429-8786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREDMORE",
"first_name": "PAMELA",
"middle_name": "FRANCES",
"name_prefix": "Mrs.",
"credential": "L.C.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-20",
"last_updated": "2009-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "1800003657",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "IL",
"license": "180-003657",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.