Individual provider Active NPI

Pamela Leigh Willard, LPC

  • Professional Counselor
  • Richmond, VA
National Provider Identifier
1801164215
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701002989 Issued in VA
Practice address
8000 Brook Rd
Richmond, VA 23227-1306
Phone
(804) 200-1601
Fax
(804) 521-5575
NPI assigned
Dec 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701002989 VA Primary

Addresses

Primary practice location

8000 Brook Rd
Richmond, VA 23227-1306

Mailing address

8000 Brook Rd
Richmond, VA 23227-1306
Phone (804) 200-1601

Other identifiers 1

IdentifierTypeStateIssuer
1992959928MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240827001664 VA Practitioner - Mental Health Counselor 8123567773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesterfield Family Guidance CenterGroup PAC ID 5799762712, 40 clinicians

Practice addresses (Care Compare)

4908 Monument Ave
Suite 101
Richmond, VA 23230-3613
Phone (804) 743-0960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterfield Family Guidance Center Professional CurrentSince Jul 24, 2024 Accepting new patients

Locations

6603 Irongate Sq
North Chesterfield, VA 23234

4908 Monument Ave
Ste 101
Richmond, VA 23230
Phone (757) 974-1469

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": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1801164215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 BROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271306",
            "telephone_number": "804-200-1601",
            "fax_number": "804-521-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 BROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271306",
            "telephone_number": "804-200-1601",
            "fax_number": "804-521-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "PAMELA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992959928",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.