Active NPI
Pamela M. Unger, P.C.C.
- Counselor
- Columbus, OH
National Provider Identifier
1932293669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E1566
- Practice address
- 100 Outerbelt St.
Columbus, OH 43213 - Phone
- (614) 751-5393
- Fax
- (614) 751-5394
- NPI assigned
- Oct 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | EOOO1566 | OH | |
| Counselor | 101Y00000X | E1566 | OH | Primary |
Addresses
Primary practice location
100 Outerbelt St.
Columbus, OH 43213
Mailing address
100 Outerbelt St.
Columbus, OH 43213
Phone (614) 751-5393
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1908-01 | Other | OH | MOUNT CARMEL BEH HLTH |
| 9111115 | Medicaid | OH | |
| 000000117280 | Other | OH | ANTHEM |
| 174348000 | Other | OH | MAGELLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1566 | OH | MD | Counselor |
| EOOO1566 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gestalt Associates, Inc. | Mental Health | Past | Accepting new patients |
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, 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": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1932293669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 OUTERBELT ST.",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43213",
"telephone_number": "614-751-5393",
"fax_number": "614-751-5394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OUTERBELT ST.",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43213",
"telephone_number": "614-751-5393",
"fax_number": "614-751-5394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGER",
"first_name": "PAMELA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "P.C.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "EOOO1566",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E1566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNT CARMEL BEH HLTH",
"identifier": "1908-01",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9111115",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000117280",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "174348000",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.