Individual provider Active NPI

Pamela K. Williams, MS, L.C.P.C

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1811210404
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
12043 S Indiana Ave
Apt. 2
Chicago, IL 60628-6723
Phone
(773) 979-6637
NPI assigned
Mar 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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 Primary

Addresses

Primary practice location

12043 S Indiana Ave
Apt. 2
Chicago, IL 60628-6723

Mailing address

12043 S Indiana Ave
Apt. 2
Chicago, IL 60628-6723
Phone (773) 979-6637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Healing Center, LLC Professional Current Accepting new patients

Locations

10725 S Western Ave
Chicago, IL 60643
Phone (773) 233-6500

Interoperability endpoints

  • Direct secure messaging: pam.williams.p1@direct.hcenter.nextgenshare.com

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": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1811210404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12043 S INDIANA AVE",
            "address_2": "APT. 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606286723",
            "telephone_number": "773-979-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12043 S INDIANA AVE",
            "address_2": "APT. 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606286723",
            "telephone_number": "773-979-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PAMELA",
        "middle_name": "K.",
        "name_prefix": "Miss",
        "credential": "MS, L.C.P.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.