Active NPI
Pamela Cyrese Durham, CACII, LPCS
- Professional Counselor
- Greenville, SC
National Provider Identifier
1861758351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5323
- Practice address
- 1400 Cleveland St
Greenville, SC 29607-2410 - Phone
- (864) 467-3918
- Fax
- (864) 467-3757
- NPI assigned
- Apr 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1112126 | SC | |
| Professional Counselor | 101YP2500X | 5323 | SC | Primary |
Addresses
Primary practice location
1400 Cleveland St
Greenville, SC 29607-2410
Mailing address
1400 Cleveland St
Greenville, SC 29607-2410
Phone (864) 467-3918
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 |
|---|---|---|---|
| 1112126 | SC | MD | Addiction (Substance Use Disorder) Counselor |
| 5323 | SC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1861758351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 CLEVELAND ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072410",
"telephone_number": "864-467-3918",
"fax_number": "864-467-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 CLEVELAND ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072410",
"telephone_number": "864-467-3918",
"fax_number": "864-467-3757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURHAM",
"first_name": "PAMELA",
"middle_name": "CYRESE",
"name_prefix": "Miss",
"credential": "CACII, LPCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-09",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SC",
"license": "1112126",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "5323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.