Pamela Douglas

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0015000655 Issued in VA

Legal business name

PAMELA DOUGLAS

Practice address

6722 Patterson Ave
Suite B
Richmond, VA 23226-3400

Phone

(804) 282-4000

Fax

(804) 282-7799

NPI assigned

Nov 19, 2007

Last updated

Nov 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela Kavanaugh DouglasNPI 1003801028

Title

Owner

Phone

(804) 282-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Kavanaugh Douglas, MSN,APRN,BC

  • Mental Health Counselor
  • Richmond, VA
  • NPI 1003801028
  Medicare reassignment NPD Authorized official
• Diane Marie Han, LPC

  • Mental Health Counselor
  • Glen Allen, VA
  • NPI 1962467449
  NPD
• Karen Ruth Evans, LCSW

  • Clinical Social Worker
  • Chesterfield, VA
  • NPI 1104928696
  NPD (past)
• Alexander Taylor Leverty, LCSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1780679027
  NPD (past)

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1952582850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6722 PATTERSON AVE",
            "address_2": "SUITE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263400",
            "telephone_number": "804-282-4000",
            "fax_number": "804-282-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6722 PATTERSON AVE",
            "address_2": "SUITE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263400",
            "telephone_number": "804-282-4000",
            "fax_number": "804-282-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA DOUGLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "KAVANAUGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-282-4000"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0015000655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C09408",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer H. Palmieri, MPT
• Jon Palmintier, M.D.
• Julie Frier Palmore, DDS
• Randolph Harris Palmore, M.D.
• David A. Palombo, M.D.
• Pamela R. Bryant, PLC
• Gifty Joseph Pampuru
• Lauren G Pamulapati, PHARMD
• Rachel Williams Panak, DNP
• Smita Pancholia, MD

• Mental Health Counselor in Richmond, VA
• Providers in Richmond, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.