Pamela Wilson Vandenaker, M.S.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

973368026004 Issued in UT

Practice address

145 S 1300 W
Pleasant Grove, UT 84062-3580

Phone

(801) 785-9400

Fax

(801) 785-9499

NPI assigned

May 24, 2007

Last updated

May 12, 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.

• Willow Tree Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Pleasant Grove, UT
  • NPI 1730456963
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1790996684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S 1300 W",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623580",
            "telephone_number": "801-785-9400",
            "fax_number": "801-785-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S 1300 W",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623580",
            "telephone_number": "801-785-9400",
            "fax_number": "801-785-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENAKER",
        "first_name": "PAMELA",
        "middle_name": "WILSON",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "973368026004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utah Pediatric Speech
• Utah Valley Surgery Center, LLC (Grove Creek Surgery Center)
• Kaleb Valdez, DC
• Hannah Laila Van Der Beek
• Larell C. Van Dyke, D.D.S.
• Jennie Vandyke
• Julie Ann Vanwagoner, ACMHC
• Beverly L Vargo, M.D.
• Sue Anne Wakeland, MED CCC SLP
• Walgreen Co (Walgreens #01776)

• Professional Counselor in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.