MS. PAMELA A. BURKES (NPI# 1881609519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881609519 |
| Entity Type | Individual |
| Full Name | MS. PAMELA A. BURKES |
| Credential | LCPC, LMFT |
| Practice Address |
147 Riverside Dr Ste 2b Augusta ME 04330-4100 |
| Mailing Address |
20 Pheasant Run Rd Belgrade ME 04917-4113 |
| Practice Telephone | 2076263300 |
| Practice Fax Number | 2076263300 |
| Mailing Telephone | 2074952625 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
CC2692 | ME | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | MF2556 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM BCBS | 048610 | 01 |
| Street Address |
147 RIVERSIDE DR STE 2B |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053929091 | Rosetta Parkeraustin | Counselor | 2232 Pepperidge Dr, Augusta, GA 30906-5777 | 2020-07-15 |
| 1194342378 | Christina Hall Videon | Counselor | 207 Hudson Trce Ste 100, Augusta, GA 30907-2010 | 2020-07-03 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1801415476 | Purpose Place, LLC | Counselor | 1121 Laney Walker Blvd, Augusta, GA 30901-2869 | 2020-04-13 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1619539988 | Caitlin Gilham | Counselor | 2945 Walton Way Ext, Augusta, GA 30909-3827 | 2019-07-08 |
| 1306405451 | Julie Elise Tibbetts | Counselor | 3615b Mike Padgett Hwy, Augusta, GA 30906-3898 | 2019-06-12 |
| 1740797489 | Vivian Smoot Ross | Counselor | 4061 Pullman Cir, Augusta, GA 30909-9842 | 2018-01-03 |
| 1992224299 | Trutherapy Lpc | Counselor | 608 Broad St, Augusta, GA 30901-1444 | 2017-09-18 |
| 1316464415 | Heeling In Fashion Foundation Inc. | Counselor | 3006 Richmond Hill Rd, Augusta, GA 30906-3311 | 2017-08-29 |
| Find all providers in AUGUSTA | ||||
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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.