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Deactivated NPI 1902120900 Deactivated / Inactive NPI Female Practitioner

Pamela Joan Ittner , PMH

Counselor • Maitland, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Pamela Ittner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 18, 2010
NPI Deactivation Date December 26, 2024
Total Practice Duration ~14 Years of Practice (2010 – 2024)

Professional Overview & Biography Verified Profile Summary

Pamela Ittner, PMH was a registered Counselor practicing in Maitland, FL. Throughout an active medical career spanning 14 years, Pamela Ittner provided care at the practice location at 1009 MAITLAND CENTER COMMONS BLVD until profile deactivation on 2024-12-26.

Practice Location & Contact Primary Location

Practice Address

1009 Maitland Center Commons Blvd
#212

Maitland, FL 327517270

Telephone 8008402528
Fax 4076363530
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Maitland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
57 Specialists

Practicing in Maitland, FL (3441 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License FL 1295

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003042151
Meredith Rexroad

Student in an Organized Health Care Education/Training Program

NPI 1053876052
Jamie Royce

Social Worker

NPI 1083182661
Grace Fortier

Counselor - Mental Health

NPI 1104308428
Eduardo Gonzalez , LMHC

Counselor - Mental Health

NPI 1114268026

Licensed Mental Health Counselor

NPI 1114518453

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated December 26, 2024

Record deactivated on December 26, 2024

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2024

Counselor (License #3899 in OK)

NPI Profile Active June 24, 2015

NPI status registered as active in NPPES database

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Updated Practice Location June 24, 2015

Registered at 1009 MAITLAND CENTER COMMONS BLVD, #212, MAITLAND, FL 327517270 (Tel: 8008402528)

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Updated Business Mailing Address June 24, 2015

Registered at 2659 W GIFFORD LN, CITRUS SPRINGS, FL 344337109 (Tel: 9187401366)

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Provider Name / Credentials Updated June 24, 2015

Recorded as PAMELA ITTNER, PMH

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2015

Counselor (License #1295 in FL)

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Initial NPI Registration & Enumeration March 18, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902120900
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2010
Last Update: June 24, 2015
Deactivation Date: December 26, 2024

Mailing Address

2659 W Gifford Ln

Citrus Springs, FL 344337109

Phone: 9187401366

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.