Individual provider Active NPI

Pamela J Barnes, LICMHC

  • Mental Health Counselor
  • Essex Junction, VT
National Provider Identifier
1811319247
Registry record updated Nov 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0079917 Issued in VT
Practice address
8 Essex Way Ste 103D
Essex Junction, VT 05452-3301
Phone
(802) 495-6936
Fax
(802) 662-0340
NPI assigned
Jan 21, 2014
Last updated
Nov 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0079917 VT Primary

Addresses

Primary practice location

8 Essex Way Ste 103D
Essex Junction, VT 05452-3301

Mailing address

57 Cloverdale Rd
Underhill, VT 05489-9445
Phone (802) 899-4228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20240116000642 VT Practitioner - Mental Health Counselor 8628420635 Practice locations: Essex Junction, VT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8 Essex Way
Suite 103D
Essex Junction, VT 05452-3301
Phone (802) 495-6936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1811319247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 CLOVERDALE RD",
            "city": "UNDERHILL",
            "state": "VT",
            "postal_code": "054899445",
            "telephone_number": "802-899-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ESSEX WAY STE 103D",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523301",
            "telephone_number": "802-495-6936",
            "fax_number": "802-662-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "PAMELA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LICMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0079917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

Verify at the official NPI Registry.