Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679711386 Individual Practitioner Female Practitioner

Pamela Johnson , MED, PCC-S

Counselor - Professional • Waverly, OH

Professional Overview & Biography Verified Profile Summary

Pamela Johnson, MED, PCC-S is a registered healthcare professional specializing in Counselor - Professional in Waverly, OH. Practice services are available at 218 E NORTH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

218 E North St

Waverly, OH 456901148

Telephone 7409816513
Associated Practice Facility / Clinic
🏢 Gunning Ames Ptrs Facility NPI 1295860559

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Waverly, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Waverly, OH (6923 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E2779

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH 110117

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OH E2779

Definition to come...

Secondary Practice Locations

1634 11th St

Portsmouth, OH 456624526

Phone: 7403546685

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kori Lavey

Counselor - Addiction (Substance Use Disorder)

NPI 1003627118
Maxie Leiby

Counselor - Addiction (Substance Use Disorder)

NPI 1013864289
Bethanie Rife

Counselor - Addiction (Substance Use Disorder)

NPI 1023732856
Kimra Winters

Counselor - Addiction (Substance Use Disorder)

NPI 1023973765
Brianna Lewis

Counselor - Addiction (Substance Use Disorder)

NPI 1063389435
Carly Price , LCDC III

Counselor - Addiction (Substance Use Disorder)

NPI 1063912160

LCDCIII

Career & Practice History Timeline

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

14 Historical Events
NPI Profile Active October 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2017

Registered at 218 E NORTH ST, WAVERLY, OH 456901148 (Tel: (740) 981-6513)

📍
Updated Business Mailing Address October 28, 2017

Registered at PO BOX 226, WAVERLY, OH 45690 (Tel: (740) 981-6513)

👤
Provider Name / Credentials Updated October 28, 2017

Recorded as PAMELA JOHNSON, M.ED.,PCC-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2017

Counselor (License #110117 in OH)

📍
Updated Practice Location July 25, 2017

Registered at 218 E NORTH ST, WAVERLY, OH 456901148 (Tel: (740) 981-6513)

📍
Updated Business Mailing Address July 25, 2017

Registered at PO BOX 226, WAVERLY, OH 45690 (Tel: (740) 981-6513)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2017

Counselor (License #110117 in OH)

NPI Profile Active February 03, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2009

Registered at 1634 11TH ST, PORTSMOUTH, OH 456624526 (Tel: 7403546685)

📍
Updated Business Mailing Address February 03, 2009

Registered at 1634 11TH ST, PORTSMOUTH, OH 456624526 (Tel: 7403546685)

👤
Provider Name / Credentials Updated February 03, 2009

Recorded as PAMELA JOHNSON, M.ED.,PCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2009

Counselor (License #E2779 in OH)

🟢
Initial NPI Registration & Enumeration February 03, 2009

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: 1679711386
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2009
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

Po Box 226

Waverly, OH 45690

Phone: 7409816513

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.