Pamela Pegram Banks, LPC, CSAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1215061 Issued in VA

Practice address

1116 Covington Rd
Colonial Heights, VA 23834-2714

Phone

(804) 387-3818

NPI assigned

Oct 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Aim Inc

  • Community/Behavioral Health Agency
  • Chesterfield, VA
  • NPI 1174328538
  NPD Authorized official
• Community Connectors LLC

  • Addiction (Substance Use Disorder) Counselor
  • Petersburg, VA
  • NPI 1215820329
  NPD Authorized official

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

{
    "created_epoch": "1540684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540684800000",
    "number": "1730656745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 COVINGTON RD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342714",
            "telephone_number": "804-387-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 COVINGTON RD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342714",
            "telephone_number": "804-387-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "PAMELA",
        "middle_name": "PEGRAM",
        "credential": "LPC, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-28",
        "last_updated": "2018-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "1215061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215061",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Athc - Hospice, LLC
• Tyler Ayers, PHARMD
• Lashawn Arnise Bailey-Jones, R.PH.
• Davina Bailey, DDS
• Angela Marie Baker, FNP
• Satish Kumar Bankuru, MD
• Raahat Bansal, MD
• Muralidharan R Basker, MD
• Richard W Bates, DDS
• Behavior & Stress Management Center

• Mental Health Counselor in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2018; 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.