Active NPI
Pamela Elaine Lassiter, M.S.
- Professional Counselor
- Leesburg, GA
National Provider Identifier
1962800573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC010989
- Practice address
- 104 3Rd St E
Leesburg, GA 31763-4316 - Phone
- (229) 947-1009
- Fax
- (229) 874-1661
- NPI assigned
- Dec 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9519 | CT | |
| Professional Counselor | 101YP2500X | LPC010989 | GA | Primary |
| Counselor | 101Y00000X | LPC010989 | GA | |
| Mental Health Counselor | 101YM0800X | LPC010989 | GA | |
| Mental Health Counselor | 101YM0800X | MH21783 | FL | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LPC010989 | GA |
Addresses
Primary practice location
104 3Rd St E
Leesburg, GA 31763-4316
Mailing address
104 3Rd St E
Leesburg, GA 31763-4316
Phone (229) 947-1009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260407003026 | GA | Practitioner - Mental Health Counselor | 7315477726 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
700 Ga Hwy 118
Leslie, GA 31764
700 Ga Hwy 118
Leslie, GA 31764-2554
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH21783 | FL | MD | Mental Health Counselor |
| 9519 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope for the Future Counseling Services, LLC | Professional | Current | Accepting new patients |
| Hope for the Future Counseling Services LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Leesburg, GA
- NPI 1104455013
GA, Professional
-
- Community Health Worker
- Leesburg, GA
- NPI 1649139015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776556800000",
"number": "1962800573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 3RD ST E",
"city": "LEESBURG",
"state": "GA",
"postal_code": "317634316",
"telephone_number": "229-947-1009",
"fax_number": "229-874-1661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 3RD ST E",
"city": "LEESBURG",
"state": "GA",
"postal_code": "317634316",
"telephone_number": "229-947-1009",
"fax_number": "229-874-1661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSITER",
"first_name": "PAMELA",
"middle_name": "ELAINE",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-12",
"last_updated": "2026-04-19",
"certification_date": "2026-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "9519",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC010989",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "LPC010989",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC010989",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH21783",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "LPC010989",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.