Individual provider Active NPI

Pamela M Perlitz, MS, LPC, LCDC, LMFT

  • Addiction (Substance Use Disorder) Counselor
  • Bryan, TX
National Provider Identifier
1871683136
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
4194 Issued in TX
Practice address
4343 Carter Creek Pkwy
Suite 119
Bryan, TX 77802-4491
Phone
(979) 691-8500
Fax
(979) 691-5755
NPI assigned
Oct 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 4194 TX Primary
Professional Counselor 101YP2500X 11302 TX
Marriage & Family Therapist 106H00000X 2765 TX

Addresses

Primary practice location

4343 Carter Creek Pkwy
Suite 119
Bryan, TX 77802-4491

Mailing address

1609 Treehouse TRL
College Station, TX 77845-5748
Phone (979) 691-8500

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4194TXMDAddiction (Substance Use Disorder) Counselor
11302TXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1871683136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 TREEHOUSE TRL",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455748",
            "telephone_number": "979-691-8500",
            "fax_number": "979-691-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 CARTER CREEK PKWY",
            "address_2": "SUITE 119",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024491",
            "telephone_number": "979-691-8500",
            "fax_number": "979-691-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLITZ",
        "first_name": "PAMELA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MS, LPC, LCDC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "4194",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "11302",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "2765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.