Pamela Sue Wendt, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.006584 Issued in IL

Practice address

100 N Chestnut St
Suite 225
Champaign, IL 61820-4856

Phone

(217) 203-2030

Fax

(217) 355-1255

NPI assigned

Apr 10, 2009

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

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

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 and National Provider Directory roles.

• Creative Solutions, Pamela Wendt Counseling Inc.

  • Community/Behavioral Health Agency
  • Champaign, IL
  • NPI 1003239252
  NPD (past) Authorized official

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1912140666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N. CHESTNUT ST.",
            "address_2": "SUITE 225",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "61820",
            "telephone_number": "217-203-2030",
            "fax_number": "217-355-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CHESTNUT ST",
            "address_2": "SUITE 225",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618204856",
            "telephone_number": "217-203-2030",
            "fax_number": "217-355-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDT",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey Renay Wells
• Samantha Wells
• Tian Wells, PHARM.D
• Madisyn Welsh
• Carolyn A Welter, MSW
• Jan Elaine Wenke, MSN, MA, PRN, LATC
• Brian Charles Wennberg, B.A.
• Judith Werckle
• Wertz Chiropractic LTD
• Mark E. Wertz, D.C.

• Professional Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.