Individual provider Active NPI

Jamie-Lyn Marie Palama, M.S., LPC, CSAC, NBC

  • Mental Health Counselor
  • Pewaukee, WI
National Provider Identifier
1881177699
Registry record updated Sep 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6404-125 Issued in WI
Practice address
N27W23957 Paul Rd Ste 101
Pewaukee, WI 53072-6223
Phone
(262) 278-9764
NPI assigned
Sep 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2018

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 6404-125 WI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16246-132 WI

Addresses

Primary practice location

N27W23957 Paul Rd Ste 101
Pewaukee, WI 53072-6223

Mailing address

4201 S 64TH St
Greenfield, WI 53220-3009
Phone (414) 369-1106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240113000811 WI Practitioner - Mental Health Counselor 2062864184 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16246-132WIMDAddiction (Substance Use Disorder) Counselor
6404-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
American Behavioral Clinics, SC CurrentSince Mar 8, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. PastSince Jan 1, 2024 Accepting new patients

Locations

7330 W Layton Ave
Milwaukee, WI 53220
Phone (414) 281-1677

331 E Puetz Rd
Oak Creek, WI 53154
Phone (414) 296-4065

Organizations & group practices 2

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": "1536451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1881177699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 S 64TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532203009",
            "telephone_number": "414-369-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N27W23957 PAUL RD STE 101",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726223",
            "telephone_number": "262-278-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAMA",
        "first_name": "JAMIE-LYN",
        "middle_name": "MARIE",
        "credential": "M.S., LPC, CSAC, NBC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-09",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6404-125",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16246-132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

Verify at the official NPI Registry.