Individual provider Active NPI

Pamela Lomax Tippit

  • Professional Counselor
  • Huntsville, AL
National Provider Identifier
1871702845
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2745 Issued in AL
Practice address
112 Pineda Dr
Huntsville, AL 35811-8088
Phone
(256) 655-6464
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 2745 AL Primary

Addresses

Primary practice location

112 Pineda Dr
Huntsville, AL 35811-8088

Mailing address

112 Pineda Dr
Huntsville, AL 35811-8088
Phone (256) 655-6464

Other names 1

  • Pamela Lomax Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 28, 2024 through Feb 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2745ALMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Blissful Mind Behavioral Health Current Accepting new patients

Locations

207 Eustis Ave SE
Ste D
Huntsville, AL 35801
Phone (256) 346-5505

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1871702845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PINEDA DR",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358118088",
            "telephone_number": "256-655-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PINEDA DR",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358118088",
            "telephone_number": "256-655-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPIT",
        "first_name": "PAMELA",
        "middle_name": "LOMAX",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "LOMAX",
            "credential": "M.S. LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.