Active NPI
Pamela Collie Thomas, LCAS
- Addiction (Substance Use Disorder) Counselor
- Wilson, NC
National Provider Identifier
1861650376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 851
- Practice address
- 101 Brentwood Center LN N
Wilson, NC 27896-1710 - Phone
- (252) 291-7789
- Fax
- (252) 291-7789
- NPI assigned
- May 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 851 | NC | Primary |
Addresses
Primary practice location
101 Brentwood Center LN N
Wilson, NC 27896-1710
Mailing address
1010 Ensworth Rd NW
Wilson, NC 27896-2035
Phone (252) 291-7789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 851 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1861650376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 ENSWORTH RD NW",
"city": "WILSON",
"state": "NC",
"postal_code": "278962035",
"telephone_number": "252-291-7789",
"fax_number": "252-291-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BRENTWOOD CENTER LN N",
"city": "WILSON",
"state": "NC",
"postal_code": "278961710",
"telephone_number": "252-291-7789",
"fax_number": "252-291-7789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "PAMELA",
"middle_name": "COLLIE",
"name_prefix": "Mrs.",
"credential": "LCAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-30",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.