Individual provider Active NPI

Pamela K. Yancey, LPC

  • Mental Health Counselor
  • Birmingham, AL
National Provider Identifier
1770775355
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2121 Issued in AL
Practice address
1116 23Rd St S
Birmingham, AL 35205-2410
Phone
(205) 933-5422
Fax
(205) 933-6013
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2121 AL Primary

Addresses

Primary practice location

1116 23Rd St S
Birmingham, AL 35205-2410

Mailing address

1116 23Rd St S
Birmingham, AL 35205-2410
Phone (205) 933-5422

Other practice location 1

2151 Highland Ave S Ste 120
Birmingham, AL 35205-4008
Phone (205) 581-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3220 5TH Ave S
Suite 100
Birmingham, AL 35222-2309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2121ALMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Place to Be Me, LLC Mental Health Current Accepting new patients

Locations

1116 23rd St S
Birmingham, AL 35205
Phone (205) 677-5005

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1770775355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 23RD ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052410",
            "telephone_number": "205-933-5422",
            "fax_number": "205-933-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 23RD ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052410",
            "telephone_number": "205-933-5422",
            "fax_number": "205-933-6013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 Highland Ave S Ste 120",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352054008",
            "country_code": "US",
            "telephone_number": "205-581-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANCEY",
        "first_name": "PAMELA",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "2121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.