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MISS PAMELA BOUYER LICDC
NPI 1407384266
Counselor - Addiction (Substance Use Disorder) in Cleveland, OH

Active since May 24, 2017PECOS Enrolled
6209 STORER AVE, CLEVELAND, OH 44102(216) 651-1450(216) 651-4351 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, May 24, 2017 (2 updates tracked since 2017).

About Miss Pamela Bouyer Licdc NPPES

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

MISS PAMELA BOUYER LICDC (NPI 1407384266) is an individual addiction (substance use disorder) provider in Cleveland, Ohio, licensed in Ohio (021225) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1407384266
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMISS PAMELA BOUYERCredential: LICDC
Location Address6209 STORER AVECleveland, OH 44102-5522
Mailing Address6209 Storer AveCleveland, OH 44102-5522 · (216) 651-1450 · Fax (216) 651-4351
Phone(216) 651-1450
Fax(216) 651-4351
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 24, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1407384266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 021225
6209 STORER AVE, Cleveland, OH 44102
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Pamela Bouyer Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779051883
PECOS Enrollment IDI20260507000499
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.

Medicare Billing Reassignment

Medicare enrollment records show Pamela Bouyer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riveon Mental Health And Recovery
23 mi
Primary Care
6140 S BROADWAY
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 70 clinicians in this Medicare group
NPI 1376234914 (440) 233-7232

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

WOMEN'S CENTER OF GREATER CLEVELAND
Counselor (Addiction (Substance Use Disorder))
6209 STORER AVE
CLEVELAND, OH 44102
Cuyahoga County (216) 651-1450
FRANCES VIRGINIA LYNN LPCC, ATR
Counselor (Professional)
6209 STORER AVE
CLEVELAND, OH 44102
Cuyahoga County (216) 651-1450
KRISTIE COLLEY LSW
Counselor
6209 STORER AVE
CLEVELAND, OH 44102
Cuyahoga County (216) 651-1450
DAWN LETICIA LIPSCOMB
Peer Specialist
6209 STORER AVE
CLEVELAND, OH 44102
Cuyahoga County (440) 989-4900
CAROL LYNN COMBS LPCC
Counselor (Addiction (Substance Use Disorder))
6209 STORER AVE
CLEVELAND, OH 44102
Cuyahoga County (216) 651-1450

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 Bouyer's NPI number?

The NPI number for Pamela Bouyer is 1407384266. It was assigned to this individual provider in the NPPES registry on May 24, 2017.

Where is Pamela Bouyer located?

Pamela Bouyer practices at 6209 Storer Ave, Cleveland, OH 44102. The listed phone number is (216) 651-1450.

What is Pamela Bouyer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Pamela Bouyer enrolled in Medicare?

Yes. Pamela Bouyer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pamela Bouyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Bouyer reassigns Medicare benefits to Riveon Mental Health And Recovery (Lorain, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pamela Bouyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pamela Bouyer accept?

Health plans from CareSource, Molina Healthcare, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Pamela Bouyer 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 Bouyer was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.