Active NPI
Pamela T. Walkiewicz, MS, LPC, NCC
- Professional Counselor
- Madison, AL
National Provider Identifier
1891870028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2650
- Practice address
- 450 Lanier Rd
Madison, AL 35758-1866 - Phone
- (256) 774-4500
- Fax
- (256) 774-4573
- NPI assigned
- Oct 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2650 | AL | Primary |
Addresses
Primary practice location
450 Lanier Rd
Madison, AL 35758-1866
Mailing address
2868 Acton Road
Birmingham, AL 35243-2502
Phone (205) 968-8360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
777 W Putnam Ave
Suite 300
Greenwich, CT 06830-5000
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5923 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD FL Psychiatry Services PA | Current | Accepting new patients |
Locations
777 W Putnam Ave
Ste 300
Greenwich, CT 06830
Phone (203) 542-2808
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
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": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1891870028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2868 ACTON ROAD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352432502",
"telephone_number": "205-968-8360",
"fax_number": "205-968-8361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 LANIER RD",
"city": "MADISON",
"state": "AL",
"postal_code": "357581866",
"telephone_number": "256-774-4500",
"fax_number": "256-774-4573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKIEWICZ",
"first_name": "PAMELA",
"middle_name": "T.",
"name_prefix": "Ms.",
"credential": "MS, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.