Individual provider Active NPI

Pamela Patterson Kirkpatrick, MSW

  • Mental Health Counselor
  • Pittsboro, NC
National Provider Identifier
1952450322
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LICENSE # 90-LCSW Issued in NC
Practice address
530 Fearrington Post
530 Weathersfield
Pittsboro, NC 27312-8568
Phone
(919) 542-2935
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LICENSE # 90-LCSW NC Primary

Addresses

Primary practice location

530 Fearrington Post
530 Weathersfield
Pittsboro, NC 27312-8568

Mailing address

530 Fearrington Post
Pittsboro, NC 27312-8568
Phone (919) 542-2935

Other identifiers 1

IdentifierTypeStateIssuer
60330OtherNCBLUE CROS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 17, 2015 through Sep 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LICENSE # 90-LCSWNCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952450322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 FEARRINGTON POST",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273128568",
            "telephone_number": "919-542-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 FEARRINGTON POST",
            "address_2": "530 WEATHERSFIELD",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273128568",
            "telephone_number": "919-542-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "PAMELA",
        "middle_name": "PATTERSON",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LICENSE # 90-LCSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROS BLUE SHIELD",
            "identifier": "60330",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

Verify at the official NPI Registry.