Pamela Ann Bills

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.012673 Issued in IL

Practice address

2829 83Rd St
Darien, IL 60561-5612

Phone

(312) 369-9908

NPI assigned

Jun 24, 2021

Last updated

Jun 24, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Revive Psychological Services P.C.

  • Clinical Psychologist
  • Woodridge, IL
  • NPI 1407146376
  NPD

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1811567647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 DANIELS ST",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604409042",
            "telephone_number": "630-240-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 83RD ST",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615612",
            "telephone_number": "312-369-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLS",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.012673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pambills@revivepsych.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2829 83rd St",
            "city": "Darien",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605615612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alicia Barraza
• Damaria Quiana Bates, LCPC
• Kimberlyn Ann Benge, PT
• Richard H Bertenshaw Jr., MD
• Between & Within Therapy Collective, PLLC
• Reem Bitar, MD
• Peter E Blazek, D.D.S.
• Blue Sky Dental PLLC (Cass Dental Care)
• Komal Bodalia
• Alexis Bollman

• Mental Health Counselor in Darien, IL
• Providers in Darien, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.