Active NPI
Pamela A Barickman Sr., LPC-MH
- Mental Health Counselor
- Rapid City, SD
National Provider Identifier
1871529685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 809 South St.
Suite 201
Rapid City, SD 57701 - Phone
- (605) 391-3482
- Fax
- (605) 342-8144
- NPI assigned
- Jun 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-MH2104 | SD | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
809 South St.
Suite 201
Rapid City, SD 57701
Mailing address
809 South St.
Suite 201
Rapid City, SD 57701
Phone (605) 391-3482
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264181507 | Other | SD | TAX ID # |
| 6575760 | Medicaid | SD |
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 |
|---|---|---|---|
| LPC-MH2104 | SD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Awareness Counseling, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Rapid City, SD
- NPI 1073868758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1871529685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 SOUTH ST.",
"address_2": "SUITE 201",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57701",
"telephone_number": "605-391-3482",
"fax_number": "605-342-8144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 SOUTH ST.",
"address_2": "SUITE 201",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57701",
"telephone_number": "605-391-3482",
"fax_number": "605-342-8144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARICKMAN",
"first_name": "PAMELA",
"middle_name": "A",
"name_prefix": "Ms.",
"name_suffix": "Sr.",
"credential": "LPC-MH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SD",
"license": "LPC-MH2104",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "264181507",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6575760",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.