NPIMap

Organization Active NPI

Pam Cline MSW-LCSW Supportive Counseling Center

Doing business as Pam Cline LCSW Supportive Counseling Center

  • Preferred Provider Organization
  • Madras, OR
National Provider Identifier
1821285230
Registry record updated Sep 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
L3005 Issued in OR
Legal business name
PAM CLINE MSW-LCSW SUPPORTIVE COUNSELING CENTER
Doing business as
Pam Cline LCSW Supportive Counseling Center
Practice address
28 NE 12TH St
Madras, OR 97741-1827
Phone
(541) 475-6171
NPI assigned
Sep 29, 2007
Last updated
Sep 29, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
YES SOLE PROPRITERSHIPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2007

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

Authorized official

Name
Ms. Pamela Ellen Cline, MSW LCSWNPI 1336282979
Title
Mental Health Counselor
Phone
(541) 728-8297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X L3005 OR
Preferred Provider Organization 305R00000X L3005 OR Primary

Addresses

Primary practice location

28 NE 12TH St
Madras, OR 97741-1827

Mailing address

28 NE 12TH St
Madras, OR 97741-1827
Phone (541) 475-6171

Other names 1

  • Pam Cline LCSW Supportive Counseling Center Doing business as

National Provider Directory

National Provider Directory
Part of
Pam Cline MSW-LCSW Supportive Counseling Center

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191024000000",
    "number": "1821285230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 NE 12TH ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411827",
            "telephone_number": "541-475-6171",
            "fax_number": "541-475-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 NE 12TH ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411827",
            "telephone_number": "541-475-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM CLINE MSW-LCSW SUPPORTIVE COUNSELING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES SOLE PROPRITERSHIP",
        "enumeration_date": "2007-09-29",
        "last_updated": "2007-09-29",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "541-728-8297",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OR",
            "license": "L3005",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OR",
            "license": "L3005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pam Cline LCSW Supportive Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madras, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2007; 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.