Pamela Marie St. John, APSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

1187509 Issued in KY

Practice address

108 Jefferson CT
Berea, KY 40403-1544

Phone

(859) 319-4787

NPI assigned

May 18, 2022

Last updated

May 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• St John Recovery & Behavioral Health Counseling LLC

  • Social Worker
  • Richmond, KY
  • NPI 1376323899
  NPD Authorized official

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1902543218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 ROSEDALE AVE",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 JEFFERSON CT",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031544",
            "telephone_number": "859-319-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JOHN",
        "first_name": "PAMELA",
        "middle_name": "MARIE",
        "credential": "APSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "KY",
            "license": "1187509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Jane Smith, PHARM. D.
• Nawar Soda, MD
• Brianna Sparkman
• Melissa R Sparks, LSW
• St Joseph Berea
• Stacy K. Edwards, PSC
• Jana Stiles
• Sally Stiltner, CPHT
• Stone Behavioral Health LLC
• Natalie Stone, APRN, PMHNP-BC

• Peer Specialist in Berea, KY
• Providers in Berea, KY by specialty
• Peer Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.