Individual provider Active NPI

Pamela Roessler, MA

  • Counselor
  • Algonquin, IL
National Provider Identifier
1962908053
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
178.013070 Issued in IL
Practice address
1190 E Algonquin Rd
Algonquin, IL 60102-3084
Phone
(847) 363-0632
NPI assigned
Apr 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178.013070 IL Primary

Addresses

Primary practice location

1190 E Algonquin Rd
Algonquin, IL 60102-3084

Mailing address

1190 E Algonquin Rd
Algonquin, IL 60102-3084
Phone (847) 363-0632

Other practice location 1

1015 W Wise Rd Ste 200
Schaumburg, IL 60193-3777
Phone (847) 363-0632

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178.013070ILMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1962908053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 E ALGONQUIN RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601023084",
            "telephone_number": "847-363-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 E ALGONQUIN RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601023084",
            "telephone_number": "847-363-0632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 W Wise Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601933777",
            "country_code": "US",
            "telephone_number": "847-363-0632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROESSLER",
        "first_name": "PAMELA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.013070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.