MS. PAMELA TICE LIAC
NPI 1932994027
Counselor - Addiction (Substance Use Disorder) in Scottsdale, AZ

Q: What is Pamela Tice's NPI number?

The NPI number for Pamela Tice is 1932994027. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Q: What is Pamela Tice's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pamela Tice was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since April 10, 2025PECOS Enrolled

10005 E OSBORN RD, SCOTTSDALE, AZ 85256(480) 362-7664 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Pamela Tice Liac NPPES

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

MS. PAMELA TICE LIAC (NPI 1932994027) is an individual addiction (substance use disorder) provider in Scottsdale, Arizona, licensed in Arizona (155338) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1932994027

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMS. PAMELA TICECredential: LIAC

Location Address10005 E OSBORN RDScottsdale, AZ 85256-4019

Mailing Address10005 E Osborn RdScottsdale, AZ 85256-4019 · (480) 362-7664

Phone(480) 362-7664

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 10, 2025

NPPES CertifiedApril 10, 2025

✔ NPI 1932994027 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 AZ · 155338

10005 E OSBORN RD, Scottsdale, AZ 85256

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Pamela Tice Liac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446765887

PECOS Enrollment IDI20250714004308

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 20

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

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