PAMELA SUZANNE HENDERSON (NPI# 1528623030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528623030 |
| Entity Type | Individual |
| Full Name | PAMELA SUZANNE HENDERSON |
| Practice Address |
6926 Ne Fourth Plain Blvd Vancouver WA 98661-7254 |
| Practice Telephone | 3609933000 |
| Practice Fax Number | 3609933047 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CG60815371 | WA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60917733 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582339 | Pamela Henderson | Licensed Practical Nurse | 4737 Henry Town Rd, Sevierville, TN 37876-6911 | 2016-12-09 |
| 1134122666 | Pamela Renee Henderson | Ophthalmology | 299 Carew St, Ste 400, Springfield, MA 01104-2361 | 2005-05-30 |
| 1710593496 | Pamela Kate Henderson | Counselor | 476 Appleton St Ste 5, Holyoke, MA 01040-3236 | 2020-09-18 |
| 1366806309 | Pamela Marie Henderson | Licensed Practical Nurse | 5151 Monroe St, Toledo, OH 43623 | 2016-04-06 |
| 1184916488 | Pamela Henderson | Behavioral Analyst | 906 Bethlehem Pike, Erdenheim, PA 19038-7731 | 2011-05-05 |
| 1215192935 | Pamela Henderson | Social Worker | 2100 Comer Ave, Columbus, GA 31904-8725 | 2008-07-22 |
| 1891847422 | Pamela Alexandra Henderson | Case Manager/Care Coordinator | 2001 The Alameda, Alliance for Community Care Srvc Team Adult Outpatient, San Jose, CA 95126-1136 | 2007-01-16 |
| 1982673208 | Pamela S Henderson | Otolaryngology | 7425 E Shea Blvd, Suite 105, Scottsdale, AZ 85260-6411 | 2006-03-17 |
| 1538169628 | Pamela Joy Henderson | Psychologist | 408 Saint Peter St, Suite 429, Saint Paul, MN 55102-1130 | 2005-07-29 |
| Street Address |
6926 NE FOURTH PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-7254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871552455 | Hi School Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 6926 Ne Fourth Plain Blvd, Suite B, Vancouver, WA 98661-7254 | 2006-03-21 |
| 1316548621 | John Lee Wilson | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-11-03 |
| 1952902264 | Kahla Nicole Stewart | Specialist | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-11-03 |
| 1255939807 | Melissa Annmarie Mercer | Registered Nurse | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-10-15 |
| 1295332328 | Cheryl A Brown-hendrix | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-10-01 |
| 1285249854 | Leah Martine | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-09-10 |
| 1659985224 | Lauryn E Sanders | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-09-01 |
| 1972116465 | Mikaela Elaine Hines | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-08-25 |
| 1104439686 | Geoffrey Severin Wampach | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-08-25 |
| 1265044572 | Roseanna Ruiz | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
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| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366067803 | Darcy Jacquet | Counselor | 7708 Ne 78th St, Vancouver, WA 98662-3603 | 2020-06-10 |
| 1942832381 | Dena M Alt | Counselor | 8000 Ne 139th Ave, Vancouver, WA 98682-3337 | 2020-02-04 |
| 1669019659 | Heather Alexandra Smith | Counselor | 6221 Ne Fourth Plain Blvd, Suite 130, Vancouver, WA 98661-7210 | 2019-12-09 |
| 1790327807 | Ly Khim | Counselor | 1601 E 4th Plain Blvd Bldg 17m, Vancouver, WA 98661-3717 | 2019-10-09 |
| 1922665090 | Lindsey Beth Lapore | Counselor | 6221 Ne Fourth Plain Blvd Apt 120, Vancouver, WA 98661-7210 | 2019-05-23 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1629549878 | Christine M Kille | Counselor | 4107 Nw Fruit Valley Rd Ste J, Vancouver, WA 98660-1275 | 2018-12-16 |
| 1356847008 | Brotherhood of The Broken | Counselor | 5411 Ne 107th Ave Ste 101, Vancouver, WA 98662-6347 | 2018-04-02 |
| 1174047690 | Douglas Gangat Uy | Counselor | 1610 C Street, Suite 102, Vancouver, WA 98663 | 2017-07-26 |
| 1477075091 | Justin Scott Schultz | Counselor | 1601 E 4th Plain Blvd # A212, Vancouver, WA 98661-3713 | 2017-07-14 |
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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.