Active NPI
Pamela Newsome-Hartman, LPC
- Counselor
- Detroit, MI
National Provider Identifier
1740794395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401013939
- Practice address
- 18000 Warrington Dr
Detroit, MI 48221-2771 - Phone
- (313) 622-7973
- NPI assigned
- Nov 17, 2017
- 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 | 6401013939 | MI | |
| Counselor | 101Y00000X | 6401013939 | MI | Primary |
Addresses
Primary practice location
18000 Warrington Dr
Detroit, MI 48221-2771
Mailing address
18000 Warrington Dr
Detroit, MI 48221-2771
Phone (313) 622-7973
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240208001601 | MI | Practitioner - Mental Health Counselor | 4082057849 | Practice locations: Royal Oak, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401013939 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1740794395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18000 WARRINGTON DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482212771",
"telephone_number": "313-622-7973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18000 WARRINGTON DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482212771",
"telephone_number": "313-622-7973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWSOME-HARTMAN",
"first_name": "PAMELA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-17",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401013939",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401013939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.