Individual provider Active NPI

Pamela Ellen McIntire, L.P.C.

  • Professional Counselor
  • Charlottesville, VA
National Provider Identifier
1891011912
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004801 Issued in VA
Practice address
502 Old Lynchburg Rd
Charlottesville, VA 22903-6550
Phone
(434) 962-3827
Fax
(434) 972-1860
NPI assigned
Apr 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701004801 VA Primary

Addresses

Primary practice location

502 Old Lynchburg Rd
Charlottesville, VA 22903-6550

Mailing address

502 Old Lynchburg Rd
Charlottesville, VA 22903-6550
Phone (434) 962-3827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240306001464 VA Practitioner - Mental Health Counselor 9335585975 Practice locations: Charlottesville, VA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1111 Rose Hill Dr
Suite 1
Charlottesville, VA 22903-5168
Phone (434) 327-8564

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1891011912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 OLD LYNCHBURG RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229036550",
            "telephone_number": "434-962-3827",
            "fax_number": "434-972-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 OLD LYNCHBURG RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229036550",
            "telephone_number": "434-962-3827",
            "fax_number": "434-972-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "PAMELA",
        "middle_name": "ELLEN",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.