Active NPI
Pamela Leigh Willard, LPC
- Professional Counselor
- Richmond, VA
National Provider Identifier
1801164215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701002989
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992959928 | Medicaid | VA |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesterfield Family Guidance Center | Professional | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.