Individual provider Active NPI

Pamala Topp, LPC

  • Professional Counselor
  • Watertown, SD
National Provider Identifier
1902226962
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401019479 Issued in MI
Practice address
2000 Kemp PL E Apt 212
Watertown, SD 57201-8509
Phone
(269) 364-9462
NPI assigned
Apr 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC20726 SD
Professional Counselor 101YP2500X 6401019479 MI Primary

Addresses

Primary practice location

2000 Kemp PL E Apt 212
Watertown, SD 57201-8509

Mailing address

2000 Kemp PL E Apt 212
Watertown, SD 57201-8509
Phone (269) 364-9462

Other practice location 1

1504 Romence Rd
Portage, MI 49024-3470
Phone (269) 352-7680

Other identifiers 1

IdentifierTypeStateIssuer
1902226962MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pamala@cedarlaketherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20250207002679 SD Practitioner - Mental Health Counselor 9335519339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

1012 N Savannah Dr
Sioux Falls, SD 57103-6617
Phone (212) 284-7206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401019479MIMDProfessional Counselor
LPC20726SDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Lakes Therapy, LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

525 5th St SE
Ste 2
Watertown, SD 57201
Phone (605) 880-7944

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1902226962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 KEMP PL E APT 212",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572018509",
            "telephone_number": "269-364-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 KEMP PL E APT 212",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572018509",
            "telephone_number": "269-364-9462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 Romence Rd",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490243470",
            "country_code": "US",
            "telephone_number": "269-352-7680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOPP",
        "first_name": "PAMALA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC20726",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902226962",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pamala@cedarlaketherapy.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "organizational email",
            "address_1": "2000 Kemp Pl E Apt 212",
            "city": "Watertown",
            "state": "SD",
            "country_code": "US",
            "postal_code": "572018509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

Verify at the official NPI Registry.