Individual provider Active NPI

Pamela Duff, MS, RMHCI

  • Mental Health Counselor
  • Maitland, FL
National Provider Identifier
1790353092
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH21582 Issued in FL
Practice address
100 E Sybelia Ave Ste 260
Maitland, FL 32751-4709
Phone
(352) 224-9612
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH21582 FL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-27231 NC

Addresses

Primary practice location

100 E Sybelia Ave Ste 260
Maitland, FL 32751-4709

Mailing address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Phone (352) 224-9612

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pamela.duff@carolinatc.com Direct Western Carolina Treatment Center, Inc

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LCAS-27231NCMDAddiction (Substance Use Disorder) Counselor
IMH21582FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1790353092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "352-224-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SYBELIA AVE STE 260",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514709",
            "telephone_number": "352-224-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFF",
        "first_name": "PAMELA",
        "credential": "MS, RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH21582",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-27231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pamela.duff@carolinatc.com",
            "affiliation": "Y",
            "endpointDescription": "Staff email",
            "affiliationName": "Western Carolina Treatment Center, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3 Doctors Park Ste Gandh",
            "city": "Asheville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "288014531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.