Active NPI
Pamela Jill McMullen, LPC
- Counselor
- Camp Hill, PA
National Provider Identifier
1780851071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PC000927
- Practice address
- 210 N 17TH St
Camp Hill, PA 17011-3910 - Phone
- (717) 200-1111
- NPI assigned
- May 15, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PC000927 | PA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5468 | PA |
Addresses
Primary practice location
210 N 17TH St
Camp Hill, PA 17011-3910
Mailing address
210 N 17TH St
Camp Hill, PA 17011-3910
Phone (717) 200-1111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC000927 | PA | MD | Counselor |
| 5468 | PA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1780851071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N 17TH ST",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170113910",
"telephone_number": "717-200-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N 17TH ST",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170113910",
"telephone_number": "717-200-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMULLEN",
"first_name": "PAMELA",
"middle_name": "JILL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-15",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "PC000927",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PA",
"license": "5468",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.