Pamela Shields Wolgemuth, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC016180 Issued in PA

Practice address

1120 Hobart Ave Ste C
Wyomissing, PA 19610-2028

Phone

(610) 541-2309

NPI assigned

Oct 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  PA

  Medicare reassignment

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1750161428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MEADOW VIEW DR",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059614",
            "telephone_number": "610-781-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HOBART AVE STE C",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102028",
            "telephone_number": "610-541-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLGEMUTH",
        "first_name": "PAMELA",
        "middle_name": "SHIELDS",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woccupational Therapy Associates LLC
• Erin Wolf
• Erwin H Wolf II, DMD
• Kimberly Ann Wolf, D.O.
• Lloyd M Wolf III, DO
• Jay H Wonder, D.M.D.
• Charles Worthington
• Daniel Joseph Wortman
• WRC Sports and Fitness Limited Partnership
• Isleen Wride, DMD

• Professional Counselor in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.

Verify at the official NPI Registry.