PAMELA RUTH BAILLIE-JOHNSON MA, LMFT
NPI 1629001532
Marriage & Family Therapist in Duluth, MN

Active since July 07, 2006PECOS Enrolled
4815 BURNING TREE RD STE 106, DULUTH, MN 55811(218) 464-0908(218) 722-4400 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 17, 2018, Nov 6, 2017, Oct 18, 2017 (3 updates tracked since 2017).

About Pamela Ruth Baillie-johnson Ma, Lmft NPPES

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

PAMELA RUTH BAILLIE-JOHNSON MA, LMFT (NPI 1629001532) is an individual marriage & family therapist in Duluth, Minnesota, licensed in Minnesota (1267) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Duluth, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1629001532
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NamePAMELA RUTH BAILLIE-JOHNSONCredential: MA, LMFT
Location Address4815 BURNING TREE RD STE 106Duluth, MN 55811-3800
Mailing Address4815 Burning Tree Rd Ste 106Duluth, MN 55811-3800 · (218) 464-0908 · Fax (218) 722-4400
Fax(218) 722-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 7, 2006
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1629001532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 1267
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4815 BURNING TREE RD STE 106, Duluth, MN 55811

Other Names 1

Former Name (1)Pamela Ruth Baillie Ma

Secondary Practice Location 1

Location 1306 W Superior St, Suite 403Duluth, MN 55802-1803 · Phone (218) 722-4379 · Fax (218) 722-4333

Other Identifiers 1

Medicaid630131200MN

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 (PECOS)

Pamela Ruth Baillie-johnson Ma, Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385085703
PECOS Enrollment IDI20240515003489
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.

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 Baillie-johnson's NPI number?

The NPI number for Pamela Baillie-johnson is 1629001532. It was assigned to this individual provider in the NPPES registry on July 7, 2006. The provider is also known as Pamela Ruth Baillie Ma.

Where is Pamela Baillie-johnson located?

Pamela Baillie-johnson practices at 4815 Burning Tree Rd Ste 106, Duluth, MN 55811. The listed phone number is (218) 464-0908.

What is Pamela Baillie-johnson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Pamela Baillie-johnson enrolled in Medicare?

Yes. Pamela Baillie-johnson is registered in the Medicare PECOS enrollment system.

What insurance does Pamela Baillie-johnson accept?

Health plans from HealthPartners list Pamela Baillie-johnson 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 Baillie-johnson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.