Pammela Vanegas Medina

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC10002912 Issued in MA

Practice address

50 Redfield St
Dorchester, MA 02122-3630

Phone

(857) 225-7645

NPI assigned

Oct 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1881358596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LUCILLE PL",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641210",
            "telephone_number": "617-230-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 REDFIELD ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223630",
            "telephone_number": "857-225-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEGAS MEDINA",
        "first_name": "PAMMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10002912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Valerio, ED.M, CAS
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• Matthew Van Hamersveld
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• Jennifer J. Vanderweele, MD
• Vasileia Varvarigou, M.D
• Yarit Vega, DDS
• Liza Veiga
• Laura Veira-Ramirez
• Sophia Veiras, PT, DPT

• Mental Health Counselor in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.