Active NPI
Pamela Jean Zitterkopf, M.A. P.L.M.H.P.
- Mental Health Counselor
- Gering, NE
National Provider Identifier
1770614133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8118
- Practice address
- 1720 10TH St
Gering, NE 69341-2412 - Phone
- (308) 436-3817
- Fax
- (304) 436-4716
- NPI assigned
- Mar 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8118 | NE | Primary |
Addresses
Primary practice location
1720 10TH St
Gering, NE 69341-2412
Mailing address
1720 10TH St
Gering, NE 69341-2412
Phone (308) 436-3817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025490900 | Medicaid | NE |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8118 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1770614133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 10TH ST",
"city": "GERING",
"state": "NE",
"postal_code": "693412412",
"telephone_number": "308-436-3817",
"fax_number": "304-436-4716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 10TH ST",
"city": "GERING",
"state": "NE",
"postal_code": "693412412",
"telephone_number": "308-436-3817",
"fax_number": "304-436-4716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZITTERKOPF",
"first_name": "PAMELA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "M.A. P.L.M.H.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "8118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025490900",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gering, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.