Pamela Therease Iverson I, LPC, CACIII, EMDRII

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC 4043 Issued in CO

Practice address

344 E Foothills Pkwy
Suite 8E
Fort Collins, CO 80525-2662

Phone

(970) 223-2955

Fax

(970) 204-1583

NPI assigned

Dec 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1750563441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 S LEMAY 3A PMB 412",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "970-223-2955",
            "fax_number": "970-204-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E FOOTHILLS PKWY",
            "address_2": "SUITE 8E",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252662",
            "telephone_number": "970-223-2955",
            "fax_number": "970-204-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "PAMELA",
        "middle_name": "THEREASE",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "LPC, CACIII, EMDRII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "CR6271",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC 4043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• It Just Fits
• Denise Jane Itule
• Zeljko M Ivanovic, MD
• Jennifer Lynn Ivans, LD
• Christina Iverson, M.S., CCC-SLP
• Stacie Ivey, M.S., CCC-SLP
• Laura Katherine Ivy
• Meriam Pacan Izon, M.D.
• J. David Cranor MD LLC
• Jackie Lynch, LLC

• Mental Health Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.