MS. PAMELA SUE KUCKLICK LPCC-S-SUPV
NPI 1245637446
Counselor - Mental Health in Cleveland, OH

Active since December 03, 2014PECOS EnrolledAccepts Medicare Assignment
4115 BRIDGE AVE, CLEVELAND, OH 44113(216) 651-5800 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 22, 2026, Dec 13, 2023, Nov 13, 2023 and 1 more (4 updates tracked since 2020).

About Ms. Pamela Sue Kucklick Lpcc-s-supv NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. PAMELA SUE KUCKLICK LPCC-S-SUPV (NPI 1245637446) is an individual mental health provider in Cleveland, Ohio, licensed in Ohio (E.0006764-SUPV) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1245637446
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. PAMELA SUE KUCKLICKCredential: LPCC-S-SUPV
Location Address4115 BRIDGE AVECleveland, OH 44113-3304
Mailing Address1433 W 38th StCleveland, OH 44113-2802 · (216) 906-0940
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 3, 2014
Last NPPES UpdateJanuary 22, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
NPI 1245637446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OH · E.0006764-SUPV
4115 BRIDGE AVE, Cleveland, OH 44113

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Pamela Sue Kucklick Lpcc-s-supv is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416391990
PECOS Enrollment IDI20240223001064
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
4115 BRIDGE AVE
CLEVELAND, OH 44113
Counselor (Professional)
4115 BRIDGE AVE
CLEVELAND, OH 44113
Social Worker (Clinical)
4115 BRIDGE AVE
CLEVELAND, OH 44113
Case Manager/Care Coordinator
4115 BRIDGE AVE
CLEVELAND, OH 44113
Social Worker
4115 BRIDGE AVE
CLEVELAND, OH 44113
Clinic/Center (Rehabilitation, Substance Use Disorder)
4115 BRIDGE AVE
CLEVELAND, OH 44113
Community/Behavioral Health
4115 BRIDGE AVE
CLEVELAND, OH 44113
Case Manager/Care Coordinator
4115 BRIDGE AVE
CLEVELAND, OH 44113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamela Kucklick's NPI number?

The NPI number for Pamela Kucklick is 1245637446. It was assigned to this individual provider in the NPPES registry on December 3, 2014.

Where is Pamela Kucklick located?

Pamela Kucklick practices at 4115 Bridge Ave, Cleveland, OH 44113. The listed phone number is (216) 651-5800.

What is Pamela Kucklick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Pamela Kucklick enrolled in Medicare?

Yes. Pamela Kucklick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Pamela Kucklick accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Pamela Kucklick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pamela Kucklick was last updated on January 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.