MS. PAMELA GILLIAM MARTIN (MA) – Mental Health Counselor, NPI 1407346125

MS. PAMELA GILLIAM MARTIN (MA) is a healthcare provider. based in Minneapolis, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA. The NPI Number for MS. PAMELA GILLIAM MARTIN (MA) is 1407346125

Main info

Female
Sole Proprietor
15 Years Of Experience
Name
MS. PAMELA GILLIAM MARTIN (MA)
NPI
1407346125
Phone
(612) 386-1521
Address
3339 HOLMES AVENUE
Enumeration Date
17 May 2018
Last Update Date
17 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516444100
Graduation Year
2011 (15 years ago)
PAC ID
6406381508
Group Practice PAC ID
2264583954
Professional Enrollment ID
I20241126003550
Address ID
MN551141854SA2324XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

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Provider Addresses for MS. PAMELA GILLIAM MARTIN (MA)

  • 3339 HOLMES AVENUE

    MINNEAPOLIS, MN 55408

    Phone: (612) 386-1521

    Type: Mailing

  • University Avenue West, Saint Paul, Ramsey County, Minnesota, 55114, United States

    SAINT PAUL, MN 551141854

    Phone: (651) 644-4100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241126003550IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55408)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264583954View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Clinical PsychologistMN
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical PsychologistMN
Clinical PsychologistMN
Mental Health CounselorTX
Clinical PsychologistMN
Clinical Social WorkerMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Is there an official ID for MS. PAMELA GILLIAM MARTIN (MA) in U.S. healthcare records?
The official identifier for MS. PAMELA GILLIAM MARTIN (MA) is NPI 1407346125.
Active or inactive — what applies to MS. PAMELA GILLIAM MARTIN (MA)?
You should see MS. PAMELA GILLIAM MARTIN (MA) as active in CMS-hosted NPPES data.
What clinical focus is listed for MS. PAMELA GILLIAM MARTIN (MA)?
At a glance, MS. PAMELA GILLIAM MARTIN (MA) is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is MS. PAMELA GILLIAM MARTIN (MA) located near Minneapolis?
MS. PAMELA GILLIAM MARTIN (MA) currently maps to Minneapolis, Minnesota in this extract.
Does MS. PAMELA GILLIAM MARTIN (MA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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