Pamela Jo Elliott, LCPC NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180004957 Issued in IL

Practice address

706 Oglesby Ave Ste 300
Normal, IL 61761-4616

Phone

(309) 212-3606

Fax

(312) 789-4373

NPI assigned

Aug 9, 2006

Last updated

Jan 23, 2023By 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 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Pamela Jo Hoggatt Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

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.

• Elliott Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Normal, IL
  • NPI 1396067559

  Professional

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1841200904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 OGLESBY AVE STE 300",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617614616",
            "telephone_number": "309-212-2496",
            "fax_number": "312-789-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 OGLESBY AVE STE 300",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617614616",
            "telephone_number": "309-212-3606",
            "fax_number": "312-789-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "PAMELA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LCPC NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180004957",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCC",
            "identifier": "22902",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elliottcounselingservices@gmail.com",
            "affiliation": "Y",
            "affiliationName": "Elliott Counseling Services, LLC",
            "address_1": "706 Oglesby Ave Ste 300",
            "city": "Normal",
            "state": "IL",
            "country_code": "US",
            "postal_code": "617614616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "HOGGATT",
            "middle_name": "JO",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Calvin John Eggenberger, OTR/L
• Ayrielle Ehlers
• Melvin Ehrhardt, M.D.
• Elliott Counseling Services, LLC
• Colleen Elliott-McCandless, APN
• Lindsey Ellis, BA, CRADC
• Julie Engelsdorfer, LPMT, MT-BC
• Jennifer Erlandson, APRN
• Amy Ersland
• Daniel Ervin, BCBA

• Professional Counselor in Normal, IL
• Providers in Normal, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.