NPIMap

Individual provider Active NPI

Pamela Kay Councell, CADCIII, QMHP, CSWA

  • Addiction (Substance Use Disorder) Counselor
  • Saint Helens, OR
National Provider Identifier
1780997544
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11-06-18 Issued in OR
Practice address
58147 Columbia River Hwy
Suite C
Saint Helens, OR 97051-6226
Phone
(503) 396-5322
NPI assigned
Jul 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 11-06-18 OR Primary

Addresses

Primary practice location

58147 Columbia River Hwy
Suite C
Saint Helens, OR 97051-6226

Mailing address

58147 Columbia River Hwy
Suite C
Saint Helens, OR 97051-6226
Phone (503) 396-5322

Other names 1

  • Pamela Kay Daniel Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medicine Wheel Recovery Services, Inc. Past Accepting new patients

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": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1780997544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58147 COLUMBIA RIVER HWY",
            "address_2": "SUITE C",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970516226",
            "telephone_number": "503-396-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58147 COLUMBIA RIVER HWY",
            "address_2": "SUITE C",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970516226",
            "telephone_number": "503-396-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNCELL",
        "first_name": "PAMELA",
        "middle_name": "KAY",
        "credential": "CADCIII, QMHP, CSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "11-06-18",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "DANIEL",
            "middle_name": "KAY",
            "credential": "CADC 1, QMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Helens, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.