Wendy Pethybridge, MA, MS

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

17547 W Buchanan St
Goodyear, AZ 85338-2575

Phone

(253) 257-5177

Fax

(315) 546-2406

NPI assigned

Feb 12, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healing and Empowering Life Coaching and Psychological Service

  • Counselor
  • Buckley, WA
  • NPI 1699368217

  AZ

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1073052908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17547 W BUCHANAN ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382575",
            "telephone_number": "253-257-5177",
            "fax_number": "315-546-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17547 W BUCHANAN ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382575",
            "telephone_number": "253-257-5177",
            "fax_number": "315-546-2406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8407 234th Ave E",
            "address_purpose": "LOCATION",
            "city": "Buckley",
            "state": "WA",
            "postal_code": "983219432",
            "country_code": "US",
            "telephone_number": "253-257-5177",
            "fax_number": "315-546-2406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1822 County Route 6 Lot A15",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "NY",
            "postal_code": "130694069",
            "country_code": "US",
            "telephone_number": "980-333-5456",
            "fax_number": "315-546-2406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETHYBRIDGE",
        "first_name": "WENDY",
        "credential": "MA, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2176663",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Peterson, DPT
• Alyssa Lynden Peterson
• Brandi Peterson
• Jennifer J Peterson, PMHNP-BC
• Samantha Peterson, MS, RD, CSO
• Timothy Owen Pfeiffer, DO
• Brett Robert Pfeifle, D.C.
• Christine Thienhuong Pham, MD
• Phong Pham, R.PH.
• Richard Pham, D.O.

• Counselor in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.