Pamela Rae Bacharach, MS,LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00620600 Issued in NJ

Practice address

1088 NJ-34
Aberdeen Township, NJ 07747

Phone

(732) 290-1700

NPI assigned

Apr 25, 2022

Last updated

Apr 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Wholehearted Healing Collective LLC

  • Mental Health Counselor
  • West Long Branch, NJ
  • NPI 1447873278
  NPD (past)

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1811631062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHELSEA AVE APT 401",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077408110",
            "telephone_number": "267-280-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 NJ-34",
            "city": "ABERDEEN TOWNSHIP",
            "state": "NJ",
            "postal_code": "07747",
            "telephone_number": "732-290-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHARACH",
        "first_name": "PAMELA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "MS,LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00620600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janay Bordeaux
• Carolina Espinosa Rodriguez
• Thin Sandar Khine, DMD
• Gabriella Taube

• Mental Health Counselor in Aberdeen Township, NJ
• Providers in Aberdeen Township, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.