Active NPI
Jamie-Lyn Marie Palama, M.S., LPC, CSAC, NBC
- Mental Health Counselor
- Pewaukee, WI
National Provider Identifier
1881177699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6404-125
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16246-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 6404-125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Behavioral Clinics, SC | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Past | 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.
-
- Psychiatry Physician
- Milwaukee, WI
- NPI 1144313859
-
- Clinical Social Worker
- De Pere, WI
- NPI 1396622494
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.