Pamela Krake Fletcher, MS,LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH6655 Issued in FL

Practice address

1000 N Banana River Dr
Merritt Island, FL 32952-4702

Phone

(321) 749-3589

NPI assigned

Dec 14, 2006

Last updated

Apr 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Door Christian Counseling, LLC

  • Mental Health Counselor
  • Merritt Island, FL
  • NPI 1376939835
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1790847127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E MERRITT ISLAND CSWY",
            "address_2": "SUITE 107-358",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523699",
            "telephone_number": "321-749-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N BANANA RIVER DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524702",
            "telephone_number": "321-749-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "PAMELA",
        "middle_name": "KRAKE",
        "name_prefix": "Mrs.",
        "credential": "MS,LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.