PAMELA DELOACH MARTIN (NPI# 1235537242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235537242 |
Entity Type | Individual |
Full Name | PAMELA DELOACH MARTIN |
Credential | LPC |
Practice Address |
1269 Winterview Dr Jackson MS 39211-3136 |
Practice Telephone | 6019372618 |
Mailing Telephone | 6019372618 |
Enumeration Date | 2014-12-08 |
Last Update Date | 2014-12-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
AD07-044M | MS | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
0818 | MS | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
1944 | MS | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
1518369602 | Pamela Martin | Behavioral Analyst | 12642 Delman Ln, Pineville, NC 28134-7369 | 2014-09-19 |
1063783595 | Pamela C Martin | Pharmacist | 5633 Hwy 21 S, Rincon, GA 31326-9416 | 2012-01-13 |
1609161033 | Pamela M Martin | Licensed Practical Nurse | 1280 Washington St., Brushton, NY 12916 | 2011-06-14 |
1821329509 | Pamela Martin | Counselor | 75 Jefferson Ave, Jeffersonville, PA 19403-3009 | 2010-01-20 |
1174736318 | Pamela A Martin | Counselor | 2825 Guilford Ave, Baltimore, MD 21218-4420 | 2007-05-07 |
1457571366 | Pamela Elizabeth Martin | Dentist | 16022 East High Street, Middlefield, OH 44062 | 2007-04-26 |
1467679241 | Pamela Tzu Martin | Acupuncturist | 6494 Fairwater Pl, Carlsbad, CA 92011-4028 | 2007-04-20 |
1245303817 | Pamela Denise Martin | Licensed Practical Nurse | 1920 John Wesley Ave, College Park, GA 30337 | 2006-11-15 |
1205933173 | Pamela Ruth Martin | Dentist | 6306 Democracy Blvd, Bethesda, MD 20817-1664 | 2006-09-20 |
Street Address |
1269 WINTERVIEW DR |
City | JACKSON |
State | MS |
Zip Code | 39211-3136 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
Find all providers in zip 39211 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902411663 | Kristen Camille Kapler | Counselor | 3899 Division Rd, Jackson, WI 53037-9707 | 2020-09-10 |
1992339071 | Open Door Family Counseling | Counselor | 316 S Brown St Ste A, Jackson, MI 49203-1481 | 2020-02-27 |
1891334108 | Jamie Alane Merrill | Counselor | 1214 Greenwood Ave, Jackson, MI 49203-3037 | 2020-01-03 |
1285273078 | Hall Consulting Services LLC | Counselor | 1155 Briarwood Dr, Jackson, MS 39211-4204 | 2019-12-27 |
1114496387 | New Direction Counseling Center, LLC | Counselor | 1200 N West Ave Ste 809, Jackson, MI 49202-2196 | 2018-11-17 |
1811490964 | Lifeworks Resources, LLC | Counselor | 575 S Royal St Ste 24, Jackson, TN 38301-7307 | 2018-03-15 |
1912409764 | Impact Behavioral Counseling LLC | Counselor | 1551 E County Line Rd Ste B, Jackson, MS 39211-1801 | 2018-03-07 |
1831697317 | Denise June Johnson | Counselor | 906 Lincoln St, Jackson, MI 49202-3251 | 2018-01-30 |
1033626031 | Heather R. Chruch | Counselor | 180 W Michigan Ave Ste 204, Jackson, MI 49201-1342 | 2017-12-29 |
1861908337 | Matthew T Tompkins | Counselor | 810 E Jackson Blvd Ste B1, Jackson, MO 63755-2400 | 2017-12-20 |
Find all providers in JACKSON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.