Pamela Warren, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2021004941 Issued in MO

Practice address

923 E Terra LN
O Fallon, MO 63366-2726

Phone

(636) 395-8021

NPI assigned

Aug 8, 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

Other identifiers 1

Other names 1

• Ms. Pamela Davis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 20, 2026 through May 20, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1780367698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2088 WILLOW TRL",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034423",
            "telephone_number": "636-699-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 E TERRA LN",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662726",
            "telephone_number": "636-395-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "PAMELA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021004941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERATIONS COUNSELING",
            "identifier": "47-5459037",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "DAVIS",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel J Walters, P.T.
• Katie Nicole Walters
• Leah W Wangui, FNP
• Stephanie Ward, DPT
• Samantha Dawn Warden, MD
• Cindy Sue Washeck, P.T.
• Washington University
• Kim Marie Waterhouse, M.D.
• Anthony P Webb
• Kristin Webb, PTA

• Professional Counselor in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.